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General NPI Number Information
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NPI Number | 1013135490
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Entity Type | Organization
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Legal Business Name | SAN CARLOS UNIFIED SCHOOL DISTRICT #20
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Dates
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Enumeration Date | 04/23/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | SAN CARLOS AVE 45
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City | SAN CARLOS
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State | AZ
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Zip | 85550
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Country | US
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Telephone | 928-475-2315
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Fax | 928-475-5626
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Provider Business Mailing Address
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Address Line | PO BOX 207 SAN CARLOS AVENUE, #45
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City | SAN CARLOS
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State | AZ
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Zip | 85550-0207
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Country | US
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Telephone | 928-475-2315
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Fax | 928-475-5626
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Authorized Official
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Title or Position | SPECIAL EDUACATION DIRECTOR
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Name | MS. LORRAINE CANNON
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Credential |
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Telephone | 928-475-2315
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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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