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General NPI Number Information
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NPI Number | 1730516592
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Entity Type | Organization
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Legal Business Name | MINNESOTA NEW COUNTRY SCHOOL
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Dates
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Enumeration Date | 10/10/2013
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Last Update Date | 11/25/2015
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Provider Practice Location Address
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Address Line | 210 MAIN STREET
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City | HENDERSON
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State | MN
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Zip | 56044
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Country | US
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Telephone | 507-248-3353
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Fax | 507-248-3604
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Provider Business Mailing Address
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Address Line | P.O. BOX 488
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City | HENDERSON
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State | MN
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Zip | 56044
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Country | US
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Telephone | 507-248-3353
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Fax | 507-248-3604
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Authorized Official
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Title or Position | LEAD ADVISOR
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Name | DEE THOMAS
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Credential |
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Telephone | 507-248-3353
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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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