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General NPI Number Information
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NPI Number | 1881734937
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Entity Type | Organization
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Legal Business Name | CONS SCHOOL DIST R-3 OF SALEM
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Dates
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Enumeration Date | 02/07/2007
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Last Update Date | 06/13/2016
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Provider Practice Location Address
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Address Line | 27870 HIGHWAY C
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City | SALEM
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State | MO
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Zip | 65560-8661
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Country | US
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Telephone | 573-729-4680
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Fax | 573-729-8644
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Provider Business Mailing Address
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Address Line | 27870 HIGHWAY C
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City | SALEM
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State | MO
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Zip | 65560-8661
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Country | US
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Telephone | 573-729-4680
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Fax | 573-729-8644
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Authorized Official
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Title or Position | DISTRICT COORDINATOR
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Name | MRS. DENISE POLK
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Credential |
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Telephone | 573-729-4680
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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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 | 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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