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NPI Code Detail

MEDICARE: PULASKI COUNTY SCHOOLS

MEDICARE: PULASKI COUNTY SCHOOLS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251300000XLocal Education Agency (LEA)

General Provider Information

NPI Number : 1083631667
Entity Type Code : Organization
Provider Name (Legal Business Name) : PULASKI COUNTY SCHOOLS
Provider Business Mailing Address
First Line : 202 N WASHINGTON AVE
Second Line :
City : PULASKI
State : VA
Zip : 24301-5022
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 202 N WASHINGTON AVE
Second Line :
City : PULASKI
State : VA
Zip : 24301-5022
Country : US
Telephone Number : 540-643-0200
Fax Number :
Authorized Official
Title or Position : MEDICAID COORDINATOR
Name : TAMMIE D DUNCAN
Credential :
Telephone Number : 540-643-0154
Provider Enumeration Date : 07/17/2006
Last Update Date : 08/22/2020

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Directions to “PULASKI COUNTY SCHOOLS ” Practice Location

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