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General NPI Number Information
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NPI Number | 1205078045
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Entity Type | Organization
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Legal Business Name | CARTWRIGHT SCHOOL DISTRICT
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Dates
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Enumeration Date | 03/25/2009
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Last Update Date | 03/25/2009
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Provider Practice Location Address
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Address Line | 2252 N 55TH AVE
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City | PHOENIX
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State | AZ
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Zip | 85035-3706
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Country | US
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Telephone | 623-691-4800
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Fax |
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Provider Business Mailing Address
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Address Line | 2252 N 55TH AVE
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City | PHOENIX
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State | AZ
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Zip | 85035-3706
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Country | US
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Telephone | 623-691-4800
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Fax |
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Authorized Official
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Title or Position | LPN
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Name | LEZLEY O'BRIEN
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Credential |
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Telephone | 623-691-4800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305R00000X
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Taxonomy Name | Preferred Provider Organization
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License Number | LP039215
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License Number State | AZ
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