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General NPI Number Information
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NPI Number | 1043685019
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Entity Type | Organization
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Legal Business Name | QUITMAN LOWER ELEMENTARY SCHOOL
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Dates
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Enumeration Date | 12/02/2015
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Last Update Date | 12/02/2015
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Provider Practice Location Address
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Address Line | 101 E MCARTHUR ST
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City | QUITMAN
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State | MS
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Zip | 39355-2645
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Country | US
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Telephone | 601-776-6156
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Fax |
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Provider Business Mailing Address
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Address Line | 101 E MCARTHUR ST
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City | QUITMAN
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State | MS
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Zip | 39355-2645
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Country | US
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Telephone | 601-776-6156
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Fax |
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Authorized Official
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Title or Position | SUPERINTENDENT
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Name | DR. DONNA BOONE
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Credential | PHD
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Telephone | 601-776-2186
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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 | MS
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