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General NPI Number Information
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NPI Number | 1134701014
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Entity Type | Organization
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Legal Business Name | CLEVER R-V SCHOOL DISTRICT
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Dates
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Enumeration Date | 04/21/2021
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Last Update Date | 04/21/2021
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Provider Practice Location Address
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Address Line | 103 W PUBLIC AVE
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City | CLEVER
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State | MO
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Zip | 65631
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Country | US
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Telephone | 417-743-4860
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Fax |
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Provider Business Mailing Address
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Address Line | 103 W PUBLIC AVE
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City | CLEVER
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State | MO
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Zip | 65631
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF SPECIAL SERVICES
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Name | DR. LYLE B BARBER
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Credential | ED.D
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Telephone | 417-743-4860
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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 |
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