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NPI 1265504351

NPI 1265504351 : NASSAU COUNTY SCHOOL BOARD : FERNANDINA BEACH, FL

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General NPI Number Information
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    NPI Number           |    1265504351
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    Entity Type          |    Organization 
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    Legal Business Name  |    NASSAU COUNTY SCHOOL BOARD 
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Dates
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    Enumeration Date     |    11/14/2006
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    Last Update Date     |    08/22/2020
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Provider Practice Location Address
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    Address Line         |    1201 ATLANTIC AVE 
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    City                 |    FERNANDINA BEACH
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    State                |    FL
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    Zip                  |    32034-3403
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    Country              |    US
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    Telephone            |    904-491-9929
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    Fax                  |    904-277-9041
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Provider Business Mailing Address
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    Address Line         |    1201 ATLANTIC AVE 
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    City                 |    FERNANDINA BEACH
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    State                |    FL
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    Zip                  |    32034-3403
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    Country              |    US
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    Telephone            |    904-491-9929
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    Fax                  |    904-277-9041
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Authorized Official
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    Title or Position    |    ESE DIRECTOR
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    Name                 |    MS. PAULINE  GREGORY 
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    Credential           |    E.D.S., M.S.
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    Telephone            |    904-491-9929
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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 |    FL
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