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General NPI Number Information
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NPI Number | 1497803100
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Entity Type | Organization
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Legal Business Name | EDMONSON COUNTY BOARD OF EDUCATION
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Dates
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Enumeration Date | 01/08/2007
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Last Update Date | 04/28/2015
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Provider Practice Location Address
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Address Line | 100 WILDCAT WAY
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City | BROWNSVILLE
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State | KY
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Zip | 42210
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Country | US
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Telephone | 270-597-2101
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Fax | 270-597-2103
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Provider Business Mailing Address
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Address Line | PO BOX 129
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City | BROWNSVILLE
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State | KY
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Zip | 42210
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Country | US
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Telephone | 270-597-2101
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Fax | 270-597-2103
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Authorized Official
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Title or Position | DOSE DIRECTOR OF SPECIAL EDUCATION
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Name | MR. WYN CAUDILL
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Credential |
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Telephone | 270-597-2101
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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 | KY
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