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General NPI Number Information
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NPI Number | 1497410971
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Entity Type | Organization
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Legal Business Name | THE PATH SCHOOL
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Dates
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Enumeration Date | 11/01/2021
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Last Update Date | 11/01/2021
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Provider Practice Location Address
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Address Line | 653 N SOMERSET AVE
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City | INDIANAPOLIS
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State | IN
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Zip | 46222-3327
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Country | US
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Telephone | 317-226-4267
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Fax |
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Provider Business Mailing Address
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Address Line | 653 N SOMERSET AVE
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City | INDIANAPOLIS
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State | IN
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Zip | 46222-3327
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Country | US
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Telephone | 317-226-4267
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | MS. BIANCA BAIRD
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Credential |
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Telephone | 317-226-4267
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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 |
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