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General NPI Number Information
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NPI Number | 1235415076
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Entity Type | Organization
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Legal Business Name | LAVEEN ELEMENTARY SCHOOL DISTRICT
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Dates
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Enumeration Date | 10/25/2011
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Last Update Date | 10/25/2011
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Provider Practice Location Address
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Address Line | 9401 S 51ST AVE
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City | LAVEEN
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State | AZ
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Zip | 85339-2710
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Country | US
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Telephone | 602-237-9100
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Fax |
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Provider Business Mailing Address
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Address Line | 9401 S 51ST AVE
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City | LAVEEN
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State | AZ
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Zip | 85339-2710
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Country | US
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Telephone | 602-237-9100
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Fax |
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Authorized Official
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Title or Position | STUDENT SERVICES ADMIN. ASST.
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Name | MRS. VICKI CANISALES
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Credential |
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Telephone | 602-237-9100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | RN162162
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License Number State | AZ
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