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General NPI Number Information
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NPI Number | 1023747979
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Entity Type | Organization
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Legal Business Name | LITCHFIELD PUBLIC SCHOOL DIST. 15
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Dates
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Enumeration Date | 06/07/2022
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Last Update Date | 06/07/2022
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Provider Practice Location Address
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Address Line | 500 N MAIN ST
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City | LITCHFIELD
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State | NE
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Zip | 68852-0167
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Country | US
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Telephone | 308-446-2244
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Fax | 308-446-2244
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Provider Business Mailing Address
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Address Line | PO BOX 167
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City | LITCHFIELD
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State | NE
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Zip | 68852-0167
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Country | US
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Telephone | 308-446-2244
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Fax | 308-446-2244
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Authorized Official
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Title or Position | BUSINESS MANAGER
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Name | MRS. TASHA FLETCHER
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Credential |
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Telephone | 308-446-2244
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 163WS0200X
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Taxonomy Name | School Registered Nurse
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License Number |
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License Number State |
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