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General NPI Number Information
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NPI Number | 1003623349
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Entity Type | Organization
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Legal Business Name | MODOC COUNTY JOINT UNIFIED SCHOOL DISTRICT
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Dates
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Enumeration Date | 12/11/2024
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Last Update Date | 12/11/2024
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Provider Practice Location Address
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Address Line | 809 W 8TH ST
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City | ALTURAS
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State | CA
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Zip | 96101-3116
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Country | US
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Telephone | 530-233-7101
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Fax |
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Provider Business Mailing Address
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Address Line | MODOC COUNTY OFFICE OF EDUCATION 139 HENDERSON STREET
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City | ALTURAS
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State | CA
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Zip | 96101
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR MH SUPPORT SERVICES
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Name | ALISHA ROMESHA
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Credential | LCSW
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Telephone | 530-233-7101
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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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