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General NPI Number Information
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NPI Number | 1114087376
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Entity Type | Organization
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Legal Business Name | FLAGLER COUNTY SCHOOL BOARD
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Dates
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Enumeration Date | 12/11/2006
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Last Update Date | 04/15/2008
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Provider Practice Location Address
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Address Line | 1 CORPORATE DR STE 2J BUILDING 5 AND BUILDING 3
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City | PALM COAST
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State | FL
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Zip | 32137-4714
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Country | US
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Telephone | 386-446-6744
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Fax | 386-446-6741
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Provider Business Mailing Address
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Address Line | 1 CORPORATE DR STE 2J
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City | PALM COAST
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State | FL
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Zip | 32137-4714
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Country | US
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Telephone | 386-446-6744
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Fax | 386-446-6741
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Authorized Official
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Title or Position | PROGRAM MANAGER
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Name | SALLY SMITH
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Credential |
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Telephone | 386-446-6744
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State | FL
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