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General NPI Number Information
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NPI Number | 1932331188
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Entity Type | Organization
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Legal Business Name | WEST NORTHFIELD SCHOOL DISTRICT 31
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Dates
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Enumeration Date | 08/20/2009
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Last Update Date | 03/15/2016
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Provider Practice Location Address
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Address Line | 3131 TECHNY RD
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City | NORTHBROOK
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State | IL
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Zip | 60062-5857
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Country | US
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Telephone | 847-313-4414
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Fax |
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Provider Business Mailing Address
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Address Line | 3131 TECHNY RD
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City | NORTHBROOK
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State | IL
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Zip | 60062-5857
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Country | US
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Telephone | 847-313-4414
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATIVE ASSISTANT
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Name | MEGHAN SWIFT
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Credential |
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Telephone | 847-313-4414
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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 |
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