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General NPI Number Information
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NPI Number | 1033557947
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Entity Type | Organization
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Legal Business Name | ANACORTES SCHOOL DISTRICT 103
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Dates
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Enumeration Date | 06/13/2013
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Last Update Date | 06/13/2013
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Provider Practice Location Address
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Address Line | 2200 M AVE
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City | ANACORTES
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State | WA
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Zip | 98221-3728
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Country | US
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Telephone | 360-293-1200
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Fax | 360-299-4822
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Provider Business Mailing Address
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Address Line | 2200 M AVE
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City | ANACORTES
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State | WA
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Zip | 98221-3728
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Country | US
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Telephone | 360-293-1200
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Fax | 360-299-4822
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Authorized Official
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Title or Position | DIRECTOR OF BUSINESS & OPERATIONS
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Name | LISA M MATTHEWS
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Credential |
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Telephone | 360-293-1213
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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 | 291001898
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License Number State | WA
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