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General NPI Number Information
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NPI Number | 1861539884
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Entity Type | Organization
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Legal Business Name | NEW COMMUNITY SCHOOL
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Dates
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Enumeration Date | 01/31/2007
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Last Update Date | 07/23/2007
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Provider Practice Location Address
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Address Line | 710 NORTH ST.
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City | LAFAYETTE
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State | IN
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Zip | 47901
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Country | US
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Telephone | 765-420-9617
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Fax | 765-420-9672
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Provider Business Mailing Address
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Address Line | 710 NORTH ST.
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City | LAFAYETTE
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State | IN
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Zip | 47901
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Country | US
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Telephone | 765-420-9617
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Fax | 765-420-9672
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS & FINANCE
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Name | MR. DANIEL J BEAVER
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Credential |
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Telephone | 765-420-9617
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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 | IN
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