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NPI 1942404868

NPI 1942404868 : GREENFIELD EXEMPTED VILLAGE SCHOOLS : GREENFIELD, OH

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General NPI Number Information
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    NPI Number           |    1942404868
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    Entity Type          |    Organization 
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    Legal Business Name  |    GREENFIELD EXEMPTED VILLAGE SCHOOLS 
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Dates
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    Enumeration Date     |    06/13/2007
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    Last Update Date     |    07/07/2008
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Provider Practice Location Address
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    Address Line         |    200 N 5TH ST 
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    City                 |    GREENFIELD
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    State                |    OH
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    Zip                  |    45123-1373
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    Country              |    US
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    Telephone            |    937-981-4846
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    200 N 5TH ST 
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    City                 |    GREENFIELD
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    State                |    OH
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    Zip                  |    45123-1373
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    Country              |    US
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    Telephone            |    937-981-4846
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    Fax                  |    
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Authorized Official
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    Title or Position    |    SUPERINTENDENT
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    Name                 |    MR. TERRANCE L. FOUCH 
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    Credential           |    
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    Telephone            |    937-981-2152
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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       |    25130
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    License Number State |    OH
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