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General NPI Number Information
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NPI Number | 1174724223
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Entity Type | Organization
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Legal Business Name | JOHN H. WOOD JR. PUBLIC CHARTER DISTRICT
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Dates
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Enumeration Date | 05/29/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3201 CHERRY RIDGE ST STE. C315
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City | SAN ANTONIO
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State | TX
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Zip | 78230-4823
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Country | US
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Telephone | 210-499-0350
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Fax | 210-499-3052
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Provider Business Mailing Address
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Address Line | 3201 CHERRY RIDGE ST STE. C315
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City | SAN ANTONIO
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State | TX
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Zip | 78230-4823
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Country | US
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Telephone | 210-499-0350
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Fax | 210-499-3052
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Authorized Official
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Title or Position | DIRECTOR OF INSTRUCTIONAL PROGRAMS
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Name | MS. ANA M. POLAND
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Credential |
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Telephone | 210-499-0350
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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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