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General NPI Number Information
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NPI Number | 1184756504
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Entity Type | Organization
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Legal Business Name | MELBOURNE SCHOOL DISTRICT
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Dates
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Enumeration Date | 03/12/2007
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Last Update Date | 04/14/2011
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Provider Practice Location Address
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Address Line | 303 SCHOOL DRIVE
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City | MELBOURNE
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State | AR
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Zip | 72556
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Country | US
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Telephone | 870-368-4500
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Fax | 870-368-7070
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Provider Business Mailing Address
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Address Line | PO BOX 250
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City | MELBOURNE
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State | AR
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Zip | 72556-0250
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Country | US
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Telephone | 870-368-4500
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Fax | 870-368-7071
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Authorized Official
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Title or Position | SUPERINTENDENT
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Name | MR. GERALD WAYNE COOPER
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Credential |
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Telephone | 870-368-7070
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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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