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NPI 1962558411

NPI 1962558411 : SOUTH COUNTRY CENTRAL SCHOOL DISTRICT : EAST PATCHOGUE, NY

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General NPI Number Information
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    NPI Number           |    1962558411
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    Entity Type          |    Organization 
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    Legal Business Name  |    SOUTH COUNTRY CENTRAL SCHOOL DISTRICT 
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Dates
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    Enumeration Date     |    01/26/2007
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    Last Update Date     |    08/22/2020
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Provider Practice Location Address
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    Address Line         |    189 N DUNTON AVE 
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    City                 |    EAST PATCHOGUE
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    State                |    NY
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    Zip                  |    11772-5587
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    Country              |    US
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    Telephone            |    631-730-1781
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    Fax                  |    631-286-4914
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Provider Business Mailing Address
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    Address Line         |    189 N DUNTON AVE 
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    City                 |    EAST PATCHOGUE
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    State                |    NY
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    Zip                  |    11772-5587
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    Country              |    US
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    Telephone            |    631-730-1781
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    Fax                  |    631-286-4914
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Authorized Official
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    Title or Position    |    DIRECTOR, STUDENT SUPPORT SERVICES
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    Name                 |    MS. ANN MARIE  MORREALE 
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    Credential           |    
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    Telephone            |    631-730-1781
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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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