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General NPI Number Information
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NPI Number | 1821430489
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Entity Type | Organization
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Legal Business Name | NOVA CLASSICAL ACADEMY
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Dates
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Enumeration Date | 07/24/2013
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Last Update Date | 07/24/2013
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Provider Practice Location Address
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Address Line | 1455 VICTORIA WAY
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City | SAINT PAUL
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State | MN
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Zip | 55102-4213
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Country | US
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Telephone | 651-209-6320
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Fax | 651-209-6325
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Provider Business Mailing Address
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Address Line | 1455 VICTORIA WAY
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City | SAINT PAUL
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State | MN
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Zip | 55102-4213
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Country | US
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Telephone | 651-209-6320
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Fax | 651-209-6325
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Authorized Official
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Title or Position | DIRECTOR OF STUDENT SERVICES
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Name | MRS. SANDY KONGSLIEN STRAND
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Credential | M.S.
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Telephone | 651-209-6320
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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 | 377347
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License Number State | MN
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