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General NPI Number Information
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NPI Number | 1982918728
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Entity Type | Organization
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Legal Business Name | SUMMIT HILL SCHOOL DISTRICT #161
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Dates
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Enumeration Date | 08/04/2010
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Last Update Date | 12/13/2017
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Provider Practice Location Address
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Address Line | 20100 S SPRUCE DR
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City | FRANKFORT
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State | IL
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Zip | 60423-7099
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Country | US
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Telephone | 815-469-9103
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Fax |
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Provider Business Mailing Address
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Address Line | 20100 S SPRUCE DR
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City | FRANKFORT
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State | IL
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Zip | 60423-7099
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Country | US
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Telephone | 815-469-9103
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF SPECIAL EDUCATION
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Name | MRS. LESLIE A DEBOER
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Credential |
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Telephone | 815-469-9103
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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 | IL
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