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General NPI Number Information
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NPI Number | 1306058664
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Entity Type | Organization
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Legal Business Name | PORTSMOUTH SCHOOL DEPARTMENT
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Dates
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Enumeration Date | 05/07/2007
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Last Update Date | 02/14/2020
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Provider Practice Location Address
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Address Line | 1 JUNKINS AVE SUITE 402
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City | PORTSMOUTH
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State | NH
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Zip | 03801
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Country | US
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Telephone | 603-431-5080
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Fax | 603-431-6753
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Provider Business Mailing Address
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Address Line | 1 JUNKINS AVE SUITE 402
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City | PORTSMOUTH
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State | NH
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Zip | 03801
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Country | US
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Telephone | 603-431-5080
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Fax | 603-431-6753
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Authorized Official
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Title or Position | SUPERINTENDENT
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Name | MR. STEPHEN ZADRAVEC
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Credential |
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Telephone | 603-431-5080
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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 | LEA - 251300000X
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License Number State | NH
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