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General NPI Number Information
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NPI Number | 1144344342
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Entity Type | Organization
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Legal Business Name | WASHINGTON ELEMENTARY SCHOOL DISTRICT
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Dates
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Enumeration Date | 03/16/2007
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 4626 W. MOUNTAIN VIEW
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City | GLENDALE
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State | AZ
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Zip | 85302
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Country | US
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Telephone | 602-347-3313
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Fax |
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Provider Business Mailing Address
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Address Line | 4418 W. WAHALLA LANE
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City | GLENDALE
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State | AZ
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Zip | 85308
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Country | US
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Telephone | 602-347-3313
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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. CRAIG CARTER
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Credential |
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Telephone | 602-347-2632
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number |
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License Number State | AZ
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