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General NPI Number Information
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NPI Number | 1396049466
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Entity Type | Organization
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Legal Business Name | ROYER-GREAVES SCHOOL FOR BLIND
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Dates
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Enumeration Date | 01/05/2011
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Last Update Date | 01/05/2011
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Provider Practice Location Address
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Address Line | 118 S VALLEY RD
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City | PAOLI
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State | PA
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Zip | 19301-1444
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Country | US
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Telephone | 610-644-1810
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Fax | 610-644-8164
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Provider Business Mailing Address
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Address Line | 118 S VALLEY RD
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City | PAOLI
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State | PA
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Zip | 19301-1444
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Country | US
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Telephone | 610-644-1810
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Fax | 610-644-8164
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | DR. JOSEPH THOMAS COLEMAN
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Credential | ED.D.
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Telephone | 610-644-1810
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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 | 300157200
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number | 1000003542
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 385HR2060X
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Taxonomy Name | Child Intellectual and/or Developmental Disabilities Respite Care
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License Number | 177440
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number | 197790
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License Number State | PA
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