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General NPI Number Information
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NPI Number | 1215031786
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Entity Type | Organization
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Legal Business Name | SMYTH COUNTY PUBLIC SCHOOLS
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Dates
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Enumeration Date | 09/12/2006
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Last Update Date | 06/04/2008
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Provider Practice Location Address
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Address Line | 121 BAGLEY CIR SUITE 300
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City | MARION
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State | VA
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Zip | 24354-3140
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Country | US
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Telephone | 276-783-3791
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Fax | 276-783-3291
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Provider Business Mailing Address
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Address Line | 121 BAGLEY CIRCLE SUITE 300
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City | MARION
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State | VA
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Zip | 24354
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Country | US
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Telephone | 276-783-3791
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Fax | 276-783-3291
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Authorized Official
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Title or Position | DIRECTOR OF SPECIAL EDUCATION
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Name | MR. STEVEN DOUGLAS BLEVINS
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Credential |
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Telephone | 276-783-3791
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | 251300000X
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 251300000X
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Taxonomy Name | Local Education Agency (LEA)
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License Number | 1215031786
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License Number State |
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