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General NPI Number Information
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NPI Number | 1356416119
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Entity Type | Organization
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Legal Business Name | EDMUNDS CENTRAL SCHOOL DISTRICT #22-5
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Dates
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Enumeration Date | 11/21/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 105 FIRST AVE.
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City | ROSCOE
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State | SD
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Zip | 57471-0317
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Country | US
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Telephone | 605-287-4251
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Fax | 605-287-4581
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Provider Business Mailing Address
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Address Line | PO BOX 317
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City | ROSCOE
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State | SD
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Zip | 57471-0317
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Country | US
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Telephone | 605-287-4251
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Fax | 605-287-4581
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Authorized Official
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Title or Position | BUSINESS MANAGER
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Name | DEBRA SWALVE
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Credential |
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Telephone | 605-287-4251
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251300000X
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Taxonomy Name | Local Education Agency (LEA)
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License Number |
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License Number State | SD
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