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General NPI Number Information
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NPI Number | 1730396813
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Entity Type | Organization
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Legal Business Name | EMINENCE COMMUNITY SCHOOL CORPORATION
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Dates
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Enumeration Date | 05/17/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 6764 STATE ROAD 42 NORTH
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City | EMINENCE
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State | IN
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Zip | 46125-0135
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Country | US
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Telephone | 765-528-2101
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Fax | 765-528-2262
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Provider Business Mailing Address
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Address Line | PO BOX 135
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City | EMINENCE
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State | IN
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Zip | 46125-0135
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Country | US
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Telephone | 765-528-2101
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Fax | 765-528-2262
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Authorized Official
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Title or Position | SUPERINTENDENT
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Name | DR. SUSAN D. PHILLIPS
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Credential |
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Telephone | 765-528-2101
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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 | IN
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