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General NPI Number Information
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NPI Number | 1669612461
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Entity Type | Organization
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Legal Business Name | ROBERT BENJAMIN WILEY COMMUNITY CHARTER SCHOOL
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Dates
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Enumeration Date | 03/06/2009
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Last Update Date | 03/06/2009
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Provider Practice Location Address
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Address Line | 1446 E LAKE RD
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City | ERIE
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State | PA
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Zip | 16507-1936
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Country | US
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Telephone | 814-461-9600
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Fax | 814-461-1405
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Provider Business Mailing Address
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Address Line | 1446 E LAKE RD
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City | ERIE
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State | PA
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Zip | 16507-1936
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Country | US
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Telephone | 814-461-9600
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Fax | 814-461-1405
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Authorized Official
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Title or Position | CAO/PRINCIPAL
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Name | KATHRYN OLDS
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Credential |
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Telephone | 814-461-9600
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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 | PA
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