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General NPI Number Information
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NPI Number | 1215302377
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Entity Type | Organization
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Legal Business Name | NEWBERG SCHOOL DISTRICT 29J
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Dates
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Enumeration Date | 12/01/2015
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Last Update Date | 12/01/2015
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Provider Practice Location Address
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Address Line | 714 E 6TH ST
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City | NEWBERG
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State | OR
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Zip | 97132-3406
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Country | US
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Telephone | 503-554-5000
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Fax | 503-538-4374
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Provider Business Mailing Address
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Address Line | 714 E 6TH ST
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City | NEWBERG
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State | OR
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Zip | 97132-3406
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Country | US
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Telephone | 503-554-5000
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Fax | 503-538-4374
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Authorized Official
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Title or Position | DIRECTOR OF SPECIAL PROGRAMS
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Name | CANDACE PELT
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Credential |
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Telephone | 503-554-5007
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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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