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General NPI Number Information
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NPI Number | 1760534705
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Entity Type | Organization
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Legal Business Name | EAST GIBSON SCHOOL CORP
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Dates
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Enumeration Date | 01/18/2007
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 133 E MORTON ST
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City | OAKLAND CITY
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State | IN
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Zip | 47660-1819
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Country | US
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Telephone | 812-749-4755
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Fax | 812-749-3343
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Provider Business Mailing Address
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Address Line | 133 E MORTON ST
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City | OAKLAND CITY
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State | IN
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Zip | 47660-1819
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | SUPERINTENDENT
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Name | LYNN EDWARD BLINZINGER
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Credential |
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Telephone | 812-749-4755
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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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