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NPI 1710050646

NPI 1710050646 : GAYVILLE VOLIN SCHOOL DISTRICT : GAYVILLE, SD

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General NPI Number Information
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    NPI Number           |    1710050646
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    Entity Type          |    Organization 
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    Legal Business Name  |    GAYVILLE VOLIN SCHOOL DISTRICT 
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Dates
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    Enumeration Date     |    11/16/2006
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    Last Update Date     |    08/22/2020
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Provider Practice Location Address
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    Address Line         |    314 ARMSTRONG STREET 
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    City                 |    GAYVILLE
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    State                |    SD
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    Zip                  |    57031
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    Country              |    US
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    Telephone            |    605-267-4476
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    Fax                  |    605-267-4294
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Provider Business Mailing Address
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    Address Line         |    PO BOX 158 
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    City                 |    GAYVILLE
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    State                |    SD
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    Zip                  |    57031
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    Country              |    US
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    Telephone            |    605-267-4476
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    Fax                  |    605-267-4294
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Authorized Official
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    Title or Position    |    BUSINESS MANAGER
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    Name                 |    MR. JASON ROBERT NOUVAK 
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    Credential           |    
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    Telephone            |    605-267-4476
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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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