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General NPI Number Information
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NPI Number | 1679585319
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Entity Type | Organization
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Legal Business Name | IONIA COUNTY INTERMEDIATE SCHOOL DISTRICT
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Dates
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Enumeration Date | 08/12/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2191 HARWOOD RD
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City | IONIA
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State | MI
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Zip | 48846-9458
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Country | US
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Telephone | 616-527-4900
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Fax | 616-527-4731
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Provider Business Mailing Address
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Address Line | 2191 HARWOOD RD
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City | IONIA
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State | MI
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Zip | 48846-9458
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Country | US
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Telephone | 616-527-4900
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Fax | 616-527-4731
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Authorized Official
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Title or Position | MONITOR
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Name | MR. JAMES LEONARD LOSER
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Credential |
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Telephone | 616-527-4900
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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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