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General NPI Number Information
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NPI Number | 1801036215
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Entity Type | Organization
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Legal Business Name | EASTERN LOCAL SCHOOL DISTRICT
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Dates
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Enumeration Date | 02/25/2009
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Last Update Date | 02/25/2009
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Provider Practice Location Address
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Address Line | 11479 U.S. ROUTE 62
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City | WINCHESTER
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State | OH
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Zip | 45697
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Country | US
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Telephone | 937-695-1399
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Fax | 937-695-9046
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Provider Business Mailing Address
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Address Line | PO BOX 500
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City | SARDINIA
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State | OH
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Zip | 45171-0500
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Country | US
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Telephone | 937-695-1399
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Fax | 937-695-9046
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Authorized Official
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Title or Position | SUPERINTENDENT
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Name | MR. ALAN D SIMMONS
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Credential |
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Telephone | 937-695-1399
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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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