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General NPI Number Information
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NPI Number | 1679865968
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Entity Type | Organization
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Legal Business Name | INDEPENDENT SCHOOL DISTRICT 836
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Dates
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Enumeration Date | 05/05/2011
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Last Update Date | 09/18/2023
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Provider Practice Location Address
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Address Line | 440 HUBBARD AVENUE
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City | BUTTERFIELD
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State | MN
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Zip | 56120
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Country | US
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Telephone | 507-956-2771
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Fax | 507-956-3431
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Provider Business Mailing Address
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Address Line | 400 HUBBARD AVENUE
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City | BUTTERFIELD
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State | MN
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Zip | 56120
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Country | US
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Telephone | 507-956-2771
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Fax | 507-956-3431
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Authorized Official
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Title or Position | SUPERINTENDENT
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Name | DAN BLANKENSHIP
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Credential |
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Telephone | 507-956-2771
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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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