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General NPI Number Information
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NPI Number | 1275837213
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Entity Type | Organization
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Legal Business Name | DYSART UNIFIED SCHOOL DISTRICT
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Dates
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Enumeration Date | 01/05/2011
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Last Update Date | 01/05/2011
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Provider Practice Location Address
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Address Line | 17999 W SURPRISE FARMS LOOP S
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City | SURPRISE
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State | AZ
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Zip | 85388-6641
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Country | US
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Telephone | 623-876-7351
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Fax | 623-876-7361
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Provider Business Mailing Address
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Address Line | 17999 W SURPRISE FARMS LOOP S
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City | SURPRISE
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State | AZ
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Zip | 85388-6641
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Country | US
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Telephone | 623-876-7351
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Fax | 623-876-7361
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Authorized Official
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Title or Position | SCHOOL NURSE
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Name | RITA ANN DONOHUE
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Credential | RN
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Telephone | 623-876-7351
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385HR2065X
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Taxonomy Name | Child Physical Disabilities Respite Care
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License Number |
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License Number State |
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