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General NPI Number Information
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NPI Number | 1407023112
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Entity Type | Organization
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Legal Business Name | SCHOOL DISTRICT OF THE MENOMONIE AREA
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Dates
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Enumeration Date | 05/12/2008
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Last Update Date | 05/12/2008
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Provider Practice Location Address
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Address Line | 215 PINE AVE E
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City | MENOMONIE
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State | WI
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Zip | 54751-1357
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Country | US
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Telephone | 715-233-3217
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Fax | 715-233-3235
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Provider Business Mailing Address
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Address Line | 215 PINE AVE E
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City | MENOMONIE
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State | WI
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Zip | 54751-1357
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Country | US
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Telephone | 715-233-3217
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Fax | 715-233-3235
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Authorized Official
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Title or Position | ASST. SUPT. FOR STUDENT SERVICES
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Name | MS. LYNNE A MASLOWSKI
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Credential | MSE
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Telephone | 715-233-3217
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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 | DIRECTOR SPEC. ED 80
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License Number State | WI
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