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General NPI Number Information
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NPI Number | 1649451386
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Entity Type | Organization
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Legal Business Name | GILMANTON SCHOOL DISTRICT
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Dates
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Enumeration Date | 11/23/2007
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Last Update Date | 11/23/2007
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Provider Practice Location Address
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Address Line | 889 LARSON ROAD
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City | GILMANTON
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State | WI
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Zip | 54743-0028
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Country | US
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Telephone | 715-946-3158
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Fax | 715-946-3474
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Provider Business Mailing Address
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Address Line | S 889 LARSON ROAD
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City | GILMANTON
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State | WI
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Zip | 54743
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Country | US
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Telephone | 715-946-3158
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Fax | 715-946-3474
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | WILLIAM PERRY
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Credential |
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Telephone | 715-946-3158
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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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