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General NPI Number Information
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NPI Number | 1639368517
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Entity Type | Organization
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Legal Business Name | SISSETON SCHOOL DISTRICT 54 2
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Dates
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Enumeration Date | 10/17/2007
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Last Update Date | 02/08/2010
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Provider Practice Location Address
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Address Line | 516 8TH AVENUE WEST
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City | SISSETON
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State | SD
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Zip | 57262-1262
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Country | US
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Telephone | 605-698-7613
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Fax | 605-698-3032
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Provider Business Mailing Address
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Address Line | 516 8TH AVENUE WEST
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City | SISSETON
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State | SD
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Zip | 57262-1262
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Country | US
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Telephone | 605-698-7613
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Fax | 605-698-3032
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Authorized Official
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Title or Position | SUPERINTENDENT
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Name | DR. STEPHEN J SCHULTE
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Credential | PHD
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Telephone | 605-698-7613
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #4
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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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Taxonomy #5
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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