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General NPI Number Information
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NPI Number | 1114297504
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Entity Type | Organization
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Legal Business Name | LONG BEACH PUBLIC SCHOOLS
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Dates
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Enumeration Date | 01/03/2012
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Last Update Date | 01/03/2012
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Provider Practice Location Address
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Address Line | 237 LIDO BLVD
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City | LIDO BEACH
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State | NY
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Zip | 11561-5092
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Country | US
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Telephone | 516-897-2149
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Fax | 516-771-3852
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Provider Business Mailing Address
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Address Line | 237 LIDO BLVD
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City | LIDO BEACH
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State | NY
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Zip | 11561-5092
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Country | US
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Telephone | 516-897-2149
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Fax | 516-771-3852
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Authorized Official
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Title or Position | SCHOOL NURSE
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Name | MRS. LORI NONE FIELD
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Credential | RN
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Telephone | 516-897-2149
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | 318728
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License Number State | NY
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