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General NPI Number Information
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NPI Number | 1144684879
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Entity Type | Organization
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Legal Business Name | UMATILLA CO SCHOOL DIST 16R
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Dates
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Enumeration Date | 04/08/2016
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Last Update Date | 04/08/2016
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Provider Practice Location Address
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Address Line | 1100 SOUTHGATE STE 8
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City | PENDLETON
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State | OR
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Zip | 97801-3973
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Country | US
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Telephone | 541-276-6711
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Fax | 541-278-3208
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Provider Business Mailing Address
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Address Line | 1100 SOUTHGATE STE 8
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City | PENDLETON
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State | OR
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Zip | 97801-3973
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Country | US
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Telephone | 541-276-6711
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Fax | 541-278-3208
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Authorized Official
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Title or Position | SPECIAL PROGRAMS DIRECTOR
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Name | JULIE SMITH
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Credential | ED. D
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Telephone | 541-966-3262
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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 | 134861
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License Number State | OR
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