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General NPI Number Information
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NPI Number | 1497835227
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Entity Type | Organization
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Legal Business Name | FERTILE-BELTRAMI PUBLIC SCHOOLS IND SCHOOL DIST 599
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Dates
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Enumeration Date | 10/16/2006
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Last Update Date | 06/16/2008
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Provider Practice Location Address
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Address Line | 210 MILL STREET S
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City | FERTILE
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State | MN
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Zip | 56540-0648
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Country | US
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Telephone | 218-945-6933
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 648
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City | FERTILE
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State | MN
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Zip | 56540-0648
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | SUPERINTENDENT
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Name | BRIAN CLARKE
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Credential |
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Telephone | 218-945-6933
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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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