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General NPI Number Information
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NPI Number | 1639087448
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Entity Type | Organization
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Legal Business Name | INDIAN ISLAND SCHOOL
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Dates
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Enumeration Date | 09/01/2026
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Last Update Date | 09/01/2026
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Provider Practice Location Address
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Address Line | 10 WABANAKI WAY
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City | INDIAN ISLAND
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State | ME
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Zip | 04468-1254
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Country | US
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Telephone | 207-740-0477
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Fax |
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Provider Business Mailing Address
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Address Line | 10 WABANAKI WAY
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City | INDIAN ISLAND
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State | ME
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Zip | 04468-1254
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Country | US
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Telephone | 207-740-0477
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Fax |
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Authorized Official
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Title or Position | PRINCIPAL
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Name | MINGWUN DANA
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Credential |
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Telephone | 207-740-0477
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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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