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General NPI Number Information
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NPI Number | 1205974235
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Entity Type | Organization
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Legal Business Name | YUMA ELEMENTARY SCHOOL DISTRICT ONE
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Dates
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Enumeration Date | 02/02/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 9943 E 28TH STREET
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City | YUMA
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State | AZ
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Zip | 85364
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Country | US
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Telephone | 928-502-8787
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Fax |
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Provider Business Mailing Address
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Address Line | 540 SIXTH STREET
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City | YUMA
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State | AZ
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Zip | 85364
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | SUPERINTENDENT
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Name | TOM RUSHIN
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Credential |
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Telephone | 928-502-4300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YS0200X
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Taxonomy Name | School Counselor
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License Number |
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License Number State | AZ
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