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General NPI Number Information
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NPI Number | 1043358435
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Entity Type | Organization
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Legal Business Name | PETTUS INDEPENDENT SCHOOL DISTRICT
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Dates
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Enumeration Date | 02/01/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 500 NORTH MAY STREET
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City | PETTUS
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State | TX
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Zip | 78146
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Country | US
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Telephone | 361-375-2296
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Fax | 361-375-2295
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Provider Business Mailing Address
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Address Line | PO BOX D
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City | PETTUS
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State | TX
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Zip | 78146-0002
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Country | US
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Telephone | 361-375-2296
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Fax | 361-375-2295
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Authorized Official
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Title or Position | BUSINESS MANAGER
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Name | MRS. CAROL BRZOZOWSKI
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Credential |
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Telephone | 361-375-2296
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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 | TX
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