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General NPI Number Information
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NPI Number | 1528134632
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Entity Type | Organization
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Legal Business Name | INDEPENDENT SCHOOL DISTRICT NO 834
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Dates
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Enumeration Date | 11/28/2006
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Last Update Date | 06/17/2008
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Provider Practice Location Address
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Address Line | 1875 GREELEY ST S
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City | STILLWATER
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State | MN
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Zip | 55082-6079
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Country | US
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Telephone | 651-351-8381
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Fax | 651-351-8380
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Provider Business Mailing Address
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Address Line | 1875 GREELEY ST S
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City | STILLWATER
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State | MN
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Zip | 55082-6079
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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 | ASS'T SUPT. OF T & L
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Name | MR. DONALD JOHN SCHULD
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Credential |
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Telephone | 651-351-8381
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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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