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General NPI Number Information
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NPI Number | 1083643746
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Entity Type | Organization
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Legal Business Name | CHIMACUM SCHOOL DISTRICT #49
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Dates
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Enumeration Date | 07/02/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 91 WEST VALLEY RD
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City | CHIMACUM
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State | WA
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Zip | 98325
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Country | US
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Telephone | 360-732-4285
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Fax | 360-732-7001
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Provider Business Mailing Address
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Address Line | 91 WEST VALLEY RD PO BOX 10
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City | CHIMACUM
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State | WA
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Zip | 98325
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Country | US
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Telephone | 360-732-4285
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Fax | 360-732-7001
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Authorized Official
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Title or Position | SPECIAL SERVICES DIRECTOR
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Name | MRS. LAVONNE GRIMES
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Credential |
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Telephone | 360-732-4285
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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 | WA
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