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General NPI Number Information
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NPI Number | 1366674731
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Entity Type | Organization
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Legal Business Name | POTOSI R3 SCHOOL DISTRICT
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Dates
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Enumeration Date | 08/18/2009
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Last Update Date | 08/18/2009
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Provider Practice Location Address
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Address Line | 400 NORTH MINE
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City | POTOSI
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State | MO
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Zip | 63644
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Country | US
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Telephone | 573-438-2315
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Fax |
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Provider Business Mailing Address
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Address Line | 400 N MINE ST
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City | POTOSI
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State | MO
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Zip | 63664-1734
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Country | US
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Telephone | 573-438-2315
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Fax |
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Authorized Official
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Title or Position | SPECIAL EDUCATION DIRECTOR
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Name | MRS. KIMBERLY HARTLEY
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Credential | M.A.
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Telephone | 573-438-2315
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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 | MO
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