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General NPI Number Information
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NPI Number | 1578776258
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Entity Type | Organization
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Legal Business Name | MAINE SCHOOL ADMINISTRATIVE DISTRICT #24
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Dates
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Enumeration Date | 05/08/2007
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Last Update Date | 08/13/2008
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Provider Practice Location Address
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Address Line | 169 MAIN ST SUITE 101
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City | VAN BUREN
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State | ME
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Zip | 04785-1249
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Country | US
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Telephone | 207-868-2746
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Fax | 207-868-5420
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Provider Business Mailing Address
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Address Line | 169 MAIN ST SUITE 101
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City | VAN BUREN
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State | ME
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Zip | 04785-1249
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Country | US
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Telephone | 207-868-2746
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Fax | 207-868-5420
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Authorized Official
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Title or Position | SUPERINTENDENT OF SCHOOL
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Name | CLAYTON BELANGER
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Credential |
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Telephone | 207-868-2746
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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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