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General NPI Number Information
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NPI Number | 1609948728
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Entity Type | Organization
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Legal Business Name | IND. SCHOOL DISTRICT #264
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Dates
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Enumeration Date | 11/14/2006
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Last Update Date | 07/14/2008
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Provider Practice Location Address
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Address Line | 504 LOIS AVE N
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City | HERMAN
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State | MN
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Zip | 56248-0288
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Country | US
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Telephone | 320-677-2291
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Fax | 320-677-2412
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Provider Business Mailing Address
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Address Line | PO BOX 288 504 LOIS AVE N.
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City | HERMAN
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State | MN
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Zip | 56248-0288
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Country | US
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Telephone | 320-677-2291
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Fax | 320-677-2412
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Authorized Official
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Title or Position | SUPERINTENDENT
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Name | MR. TOM KNOLL
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Credential |
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Telephone | 320-677-2291
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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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