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General NPI Number Information
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NPI Number | 1093994873
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Entity Type | Organization
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Legal Business Name | MOUNTAIN HOME SCHOOL DISTRICT 193
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Dates
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Enumeration Date | 10/30/2007
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Last Update Date | 10/30/2007
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Provider Practice Location Address
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Address Line | 470 N 3RD E
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City | MOUNTAIN HOME
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State | ID
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Zip | 83647-2737
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Country | US
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Telephone | 208-587-2580
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Fax | 208-587-9896
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Provider Business Mailing Address
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Address Line | 470 N 3RD E
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City | MOUNTAIN HOME
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State | ID
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Zip | 83647-2737
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Country | US
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Telephone | 208-587-2580
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Fax | 208-587-9896
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Authorized Official
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Title or Position | DIRECTOR OF FISCAL OPERATIONS
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Name | MR. CLIFF OGBORN
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Credential |
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Telephone | 208-587-2588
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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 | ID
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