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NPI 1811025075

NPI 1811025075 : GRAYSON COUNTY BOARD OF EDUCATION : LEITCHFIELD, KY

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General NPI Number Information
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    NPI Number           |    1811025075
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    Entity Type          |    Organization 
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    Legal Business Name  |    GRAYSON COUNTY BOARD OF EDUCATION 
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Dates
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    Enumeration Date     |    03/01/2007
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    Last Update Date     |    05/13/2015
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Provider Practice Location Address
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    Address Line         |    909 BRANDENBURG RD 
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    City                 |    LEITCHFIELD
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    State                |    KY
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    Zip                  |    42754-2001
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    Country              |    US
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    Telephone            |    270-259-4011
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    Fax                  |    270-259-4756
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Provider Business Mailing Address
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    Address Line         |    P.O. BOX 4009 
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    City                 |    LEITCHFIELD
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    State                |    KY
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    Zip                  |    42755-4009
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    Country              |    US
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    Telephone            |    270-259-4011
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    Fax                  |    270-259-4756
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Authorized Official
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    Title or Position    |    DIRECTOR OF SP ED
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    Name                 |    MS. MONICA  HEAVRIN 
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    Credential           |    
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    Telephone            |    270-259-4011
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101YS0200X
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    Taxonomy Name        |    School Counselor
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    License Number       |    402065876
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    License Number State |    KY
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Taxonomy #2
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    Taxonomy Code        |    101YS0200X
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    Taxonomy Name        |    School Counselor
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    License Number       |    406703489
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    License Number State |    KY
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Taxonomy #3
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    Taxonomy Code        |    103T00000X
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    Taxonomy Name        |    Psychologist
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    License Number       |    KY0738
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    License Number State |    KY
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Taxonomy #4
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    Taxonomy Code        |    103T00000X
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    Taxonomy Name        |    Psychologist
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    License Number       |    KY-0464
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    License Number State |    KY
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Taxonomy #5
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    Taxonomy Code        |    224Z00000X
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    Taxonomy Name        |    Occupational Therapy Assistant
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    License Number       |    KY-A0771
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    License Number State |    KY
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Taxonomy #6
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    004308
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    License Number State |    KY
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Taxonomy #7
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    Taxonomy Code        |    225200000X
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    Taxonomy Name        |    Physical Therapy Assistant
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    License Number       |    A01496
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    License Number State |    KY
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Taxonomy #8
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    Taxonomy Code        |    225X00000X
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    Taxonomy Name        |    Occupational Therapist
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    License Number       |    1054009
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    License Number State |    KY
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Taxonomy #9
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    Taxonomy Code        |    235Z00000X
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    Taxonomy Name        |    Speech-Language Pathologist
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    License Number       |    KY-2369
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    License Number State |    KY
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Taxonomy #10
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    Taxonomy Code        |    235Z00000X
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    Taxonomy Name        |    Speech-Language Pathologist
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    License Number       |    KY-2669
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    License Number State |    KY
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Taxonomy #11
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    Taxonomy Code        |    235Z00000X
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    Taxonomy Name        |    Speech-Language Pathologist
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    License Number       |    KY-2857
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    License Number State |    KY
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Taxonomy #12
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    Taxonomy Code        |    235Z00000X
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    Taxonomy Name        |    Speech-Language Pathologist
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    License Number       |    KY-1214
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    License Number State |    KY
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Taxonomy #13
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    Taxonomy Code        |    235Z00000X
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    Taxonomy Name        |    Speech-Language Pathologist
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    License Number       |    KY-3120
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    License Number State |    KY
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Taxonomy #14
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    Taxonomy Code        |    235Z00000X
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    Taxonomy Name        |    Speech-Language Pathologist
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    License Number       |    KY-06-014
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    License Number State |    KY
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Taxonomy #15
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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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