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General NPI Number Information
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NPI Number | 1801519384
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Entity Type | Organization
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Legal Business Name | PARIS UNION SCHOOL DIST 95
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Dates
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Enumeration Date | 09/20/2022
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Last Update Date | 09/20/2022
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Provider Practice Location Address
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Address Line | 14040 E 1200TH RD
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City | PARIS
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State | IL
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Zip | 61944-8401
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Country | US
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Telephone | 217-466-1175
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Fax |
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Provider Business Mailing Address
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Address Line | 3 WATERS EDGE DR
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City | PARIS
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State | IL
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Zip | 61944-9602
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Country | US
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Telephone | 217-822-8287
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Fax |
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Authorized Official
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Title or Position | CONSULTANT
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Name | CAROL JONES
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Credential | BS, MS
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Telephone | 217-822-8287
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0050X
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Taxonomy Name | Non-Surgical Family Planning Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363LS0200X
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Taxonomy Name | School Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QS1000X
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Taxonomy Name | Student Health Clinic/Center
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License Number |
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License Number State |
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