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General NPI Number Information
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NPI Number | 1598959009
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Entity Type | Organization
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Legal Business Name | JOINT SCHOOL DISTRICT NO 2 TOMORROW RIVER SCHOOLS
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Dates
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Enumeration Date | 08/29/2007
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Last Update Date | 08/21/2008
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Provider Practice Location Address
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Address Line | 357 N MAIN ST
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City | AMHERST
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State | WI
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Zip | 54406-9102
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Country | US
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Telephone | 715-824-5521
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Fax | 715-824-7177
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Provider Business Mailing Address
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Address Line | 357 N MAIN ST
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City | AMHERST
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State | WI
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Zip | 54406-9102
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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 | ADMINISTRATOR
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Name | MR. JOHN D. HAUGEN
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Credential |
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Telephone | 715-824-5521
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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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