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General NPI Number Information
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NPI Number | 1891119509
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Entity Type | Organization
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Legal Business Name | LONDON CITY SCHOOLS
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Dates
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Enumeration Date | 02/17/2014
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Last Update Date | 02/17/2014
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Provider Practice Location Address
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Address Line | 380 ELM STREET
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City | LONDON
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State | OH
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Zip | 43140
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Country | US
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Telephone | 174-084-5327
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Fax |
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Provider Business Mailing Address
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Address Line | 380 ELM ST
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City | LONDON
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State | OH
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Zip | 43140-9220
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Country | US
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Telephone | 740-845-3272
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Fax |
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Authorized Official
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Title or Position | SUPERINTENDENT
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Name | DR. TOM BEN
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Credential |
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Telephone | 740-845-3282
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number | OH-1202283
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License Number State | OH
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