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General NPI Number Information
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NPI Number | 1023528148
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Entity Type | Organization
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Legal Business Name | ANDERSON-SHIRO CISD
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Dates
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Enumeration Date | 10/03/2017
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Last Update Date | 10/03/2017
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Provider Practice Location Address
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Address Line | 458 FM 149 RD W
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City | ANDERSON
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State | TX
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Zip | 77830-7265
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Country | US
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Telephone | 936-825-4214
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Fax |
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Provider Business Mailing Address
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Address Line | 458 FM 149 RD W
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City | ANDERSON
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State | TX
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Zip | 77830-7265
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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 OF SPECIAL EDUCATION
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Name | SUSAN BOUDEAUX
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Credential |
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Telephone | 936-825-4214
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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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