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General NPI Number Information
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NPI Number | 1003113663
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Entity Type | Organization
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Legal Business Name | WALNUT VALLEY UNIFIED SCHOOL DISTRICT
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Dates
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Enumeration Date | 02/17/2011
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Last Update Date | 02/17/2011
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Provider Practice Location Address
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Address Line | 880 S LEMON AVE EDUCATIONAL SERVICES
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City | WALNUT
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State | CA
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Zip | 91789-2931
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Country | US
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Telephone | 909-595-1261
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Fax | 909-839-1212
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Provider Business Mailing Address
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Address Line | 880 S LEMON AVE EDUCATIONAL SERVICES
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City | WALNUT
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State | CA
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Zip | 91789-2931
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Country | US
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Telephone | 909-595-1261
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Fax | 909-839-1212
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Authorized Official
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Title or Position | ADMINISTRATIVE DIRECTOR
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Name | MR. JOSE V. ANNICCHIARICO
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Credential |
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Telephone | 909-595-1261
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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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