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General NPI Number Information
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NPI Number | 1982847497
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Entity Type | Organization
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Legal Business Name | STET R-XV SCHOOL DISTRICT
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Dates
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Enumeration Date | 04/14/2009
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Last Update Date | 04/14/2009
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Provider Practice Location Address
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Address Line | 18760 CARDINAL ROAD
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City | STET
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State | MO
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Zip | 64680
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Country | US
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Telephone | 660-484-3122
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Fax | 660-484-3124
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Provider Business Mailing Address
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Address Line | 18760 CARDINAL ROAD
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City | STET
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State | MO
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Zip | 64680
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Country | US
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Telephone | 660-484-3122
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Fax | 660-484-3124
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Authorized Official
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Title or Position | COLONEL/SUPERINTENDENT
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Name | THOMAS D CHALLENDER
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Credential |
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Telephone | 660-484-3122
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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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