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General NPI Number Information
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NPI Number | 1811863491
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Entity Type | Organization
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Legal Business Name | WENTZVILLE SCHOOL DISTRICT
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Dates
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Enumeration Date | 10/13/2025
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Last Update Date | 10/13/2025
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Provider Practice Location Address
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Address Line | 280 INTERSTATE DR
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City | WENTZVILLE
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State | MO
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Zip | 63385-4510
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Country | US
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Telephone | 636-625-4537
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Fax |
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Provider Business Mailing Address
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Address Line | 280 INTERSTATE DR
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City | WENTZVILLE
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State | MO
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Zip | 63385-4510
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Country | US
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Telephone | 636-327-3800
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Fax |
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Authorized Official
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Title or Position | WSD MEDICAID CONTACT PERSON:
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Name | AMY MCCLAIN
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Credential |
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Telephone | 636-327-3800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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