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General NPI Number Information
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NPI Number | 1295065936
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Entity Type | Organization
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Legal Business Name | CLAIBORNE COUNTY SCHOOL DISTRICT
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Dates
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Enumeration Date | 12/31/2009
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Last Update Date | 12/31/2009
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Provider Practice Location Address
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Address Line | 159 OLD HIGHWAY 18 NO 1 # 1
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City | PORT GIBSON
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State | MS
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Zip | 39150-4215
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Country | US
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Telephone | 601-437-4190
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Fax | 601-437-4409
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Provider Business Mailing Address
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Address Line | 404 MARKET ST
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City | PORT GIBSON
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State | MS
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Zip | 39150-2025
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Country | US
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Telephone | 601-437-4232
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Fax | 601-437-4409
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Authorized Official
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Title or Position | SUPERINTENDENT OF EDUCATION
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Name | ANNIE KILCREASE
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Credential |
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Telephone | 601-437-4232
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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 | MS
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