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General NPI Number Information
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NPI Number | 1720209760
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Entity Type | Organization
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Legal Business Name | PANTHER VALLEY SCHOOL DISTRICT
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Dates
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Enumeration Date | 05/01/2007
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Last Update Date | 01/08/2016
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Provider Practice Location Address
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Address Line | 1 PANTHER WAY
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City | LANSFORD
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State | PA
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Zip | 18232-1929
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Country | US
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Telephone | 570-645-3176
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Fax | 570-645-2507
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Provider Business Mailing Address
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Address Line | 1 PANTHER WAY
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City | LANSFORD
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State | PA
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Zip | 18232-1929
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Country | US
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Telephone | 570-645-3176
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Fax | 570-645-2507
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Authorized Official
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Title or Position | SUPERVISOR OF SPECIAL EDUCATION
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Name | MRS. SANDRA MICHALIK
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Credential |
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Telephone | 570-645-0386
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 199300216
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 170422512
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License Number State | PA
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Taxonomy #3
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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 | PA
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