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General NPI Number Information
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NPI Number | 1033828686
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Entity Type | Organization
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Legal Business Name | SAUNDERS COUNTY SCHOOL DIST. 107
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Dates
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Enumeration Date | 11/22/2022
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Last Update Date | 11/22/2022
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Provider Practice Location Address
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Address Line | 110 E MAIN ST
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City | CEDAR BLUFFS
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State | NE
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Zip | 68015-3128
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Country | US
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Telephone | 402-628-2080
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 66
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City | CEDAR BLUFFS
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State | NE
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Zip | 68015-0066
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Country | US
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Telephone | 402-628-2080
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Fax |
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Authorized Official
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Title or Position | BUSINESS MANAGER
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Name | SHELLY VYHLIDAL
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Credential |
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Telephone | 402-628-2080
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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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