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General NPI Number Information
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NPI Number | 1013034347
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Entity Type | Organization
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Legal Business Name | MIDLAND ACADEMY CHARTER SCHOOL
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Dates
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Enumeration Date | 03/23/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 500 N BAIRD ST
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City | MIDLAND
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State | TX
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Zip | 79701-4704
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Country | US
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Telephone | 432-686-0003
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Fax | 432-686-0845
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Provider Business Mailing Address
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Address Line | 500 N BAIRD ST
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City | MIDLAND
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State | TX
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Zip | 79701-4704
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Country | US
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Telephone | 432-686-0003
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Fax | 432-686-0845
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. LEE C. CULVER
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Credential |
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Telephone | 432-686-0003
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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 | TX
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