=====================================================
General NPI Number Information
=====================================================
NPI Number | 1215092291
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | PASO ROBLES JOINT UNIFIED SCHOOL DISTRICT
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/27/2006
-----------------------------------------------------
Last Update Date | 06/18/2008
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 800 NIBLICK RD
-----------------------------------------------------
City | PASO ROBLES
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 93446-4858
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 805-238-2222
-----------------------------------------------------
Fax | 805-237-6167
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 7010
-----------------------------------------------------
City | PASO ROBLES
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 93447-7010
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 805-238-2222
-----------------------------------------------------
Fax | 805-237-6167
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DIRECTOR OF FISCAL SERVICES
-----------------------------------------------------
Name | MRS. TARYN L PALMER
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 805-238-2222
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251300000X
-----------------------------------------------------
Taxonomy Name | Local Education Agency (LEA)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------