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General NPI Number Information
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NPI Number | 1003251091
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Entity Type | Organization
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Legal Business Name | CHARLESTON CTY SCHOOLS
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Dates
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Enumeration Date | 05/03/2013
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Last Update Date | 05/03/2013
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Provider Practice Location Address
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Address Line | 75 CALHOUN ST
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City | CHARLESTON
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State | SC
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Zip | 29401-3538
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Country | US
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Telephone | 843-849-2830
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Fax |
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Provider Business Mailing Address
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Address Line | 75 CALHOUN ST
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City | CHARLESTON
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State | SC
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Zip | 29401-3538
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Country | US
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Telephone | 843-849-2830
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Fax |
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Authorized Official
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Title or Position | SCHOOL PSYCHOLOGIST
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Name | MS. NICOLA CLARE YOUNG
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Credential | ED.S
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Telephone | 843-849-2830
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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 | 161722
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License Number State | SC
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