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General NPI Number Information
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NPI Number | 1114660594
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Entity Type | Organization
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Legal Business Name | GORDON-RUSHVILLE PUBLIC SCHOOLS
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Dates
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Enumeration Date | 04/14/2022
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Last Update Date | 04/14/2022
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Provider Practice Location Address
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Address Line | 810 N OAK ST
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City | GORDON
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State | NE
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Zip | 69343-1044
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Country | US
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Telephone | 308-282-1322
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Fax | 308-282-2207
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Provider Business Mailing Address
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Address Line | PO BOX 530
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City | GORDON
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State | NE
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Zip | 69343-0530
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Country | US
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Telephone | 308-282-1322
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Fax | 308-282-2207
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Authorized Official
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Title or Position | BUSINESS MANAGER
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Name | MRS. STACEY MEEKS
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Credential |
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Telephone | 308-282-1322
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP0905X
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Taxonomy Name | State or Local Public Health Clinic/Center
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License Number |
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License Number State |
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