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General NPI Number Information
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NPI Number | 1285976993
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Entity Type | Organization
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Legal Business Name | BLAIR PUBLIC SCHOOL
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Dates
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Enumeration Date | 03/20/2013
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Last Update Date | 03/20/2013
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Provider Practice Location Address
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Address Line | 610 ZINN ST.
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City | BLAIR
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State | OK
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Zip | 73526
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Country | US
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Telephone | 580-563-2632
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 428
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City | BLAIR
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State | OK
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Zip | 73526-0428
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | SUPERINTENDENT
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Name | JIMMY SMITH
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Credential |
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Telephone | 580-563-2632
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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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