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General NPI Number Information
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NPI Number | 1114167855
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Entity Type | Organization
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Legal Business Name | SACRAMENTO CITY UNIFIED SCHOOL DISTRICT
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Dates
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Enumeration Date | 02/20/2009
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Last Update Date | 02/20/2009
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Provider Practice Location Address
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Address Line | 6879 14TH AVE N/A
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City | SACRAMENTO
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State | CA
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Zip | 95820-3431
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Country | US
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Telephone | 916-277-6300
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Fax | 916-277-6740
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Provider Business Mailing Address
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Address Line | 735 -47TH AVE
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City | SACRAMENTO
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State | CA
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Zip | 95824
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Country | US
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Telephone | 916-643-7400
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Fax |
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Authorized Official
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Title or Position | SUPERINTENDENT OF SCUSD
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Name | MS. SUSAN MILLER
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Credential | MA/BA-CHILD DEV.
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Telephone | 916-643-7400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 12248
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License Number State | CA
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