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General NPI Number Information
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NPI Number | 1679698377
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Entity Type | Organization
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Legal Business Name | REGIONAL OFFICE OF EDUCATION
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Dates
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Enumeration Date | 03/20/2007
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 510 MAINE ST SUITE 615
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City | QUINCY
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State | IL
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Zip | 62301-3903
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Country | US
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Telephone | 217-222-9592
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Fax |
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Provider Business Mailing Address
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Address Line | 507 VERMONT ST
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City | QUINCY
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State | IL
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Zip | 62301-2920
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Country | US
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Telephone | 217-222-9592
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Fax |
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Authorized Official
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Title or Position | PROGRAM MANAGER
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Name | KARLA M RICHMOND
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Credential | MBA
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Telephone | 217-222-9592
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State | IL
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