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General NPI Number Information
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NPI Number | 1598951899
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Entity Type | Organization
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Legal Business Name | WAUBAY SCHOOL DISTRICT 18 3
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Dates
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Enumeration Date | 09/20/2007
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Last Update Date | 09/20/2007
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Provider Practice Location Address
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Address Line | 202 W SCHOOL RD
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City | WAUBAY
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State | SD
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Zip | 57273-2134
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Country | US
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Telephone | 605-947-4529
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Fax | 605-947-4243
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Provider Business Mailing Address
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Address Line | 202 W SCHOOL RD
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City | WAUBAY
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State | SD
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Zip | 57273-2134
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Country | US
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Telephone | 605-947-4529
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Fax | 605-947-4243
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Authorized Official
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Title or Position | BUSINESS MANAGER
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Name | MR. VINCENT JOHN BOIK
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Credential |
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Telephone | 605-947-4529
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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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