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General NPI Number Information
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NPI Number | 1669691283
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Entity Type | Organization
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Legal Business Name | KIRBY DISTRICT 140
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Dates
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Enumeration Date | 04/24/2007
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Last Update Date | 05/16/2008
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Provider Practice Location Address
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Address Line | 16931 SOUTH GRISSOM DRIVE
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City | TINLEY PARK
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State | IL
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Zip | 60477
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Country | US
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Telephone | 708-532-8537
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Fax | 708-802-9560
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Provider Business Mailing Address
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Address Line | 16931 SOUTH GRISSOM DRIVE
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City | TINLEY PARK
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State | IL
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Zip | 60477
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Country | US
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Telephone | 708-532-8537
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Fax | 708-802-9560
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Authorized Official
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Title or Position | DIRECTOR
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Name | JILL WOJACK
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Credential |
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Telephone | 708-532-8537
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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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