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NPI 1316075096

NPI 1316075096 : FRONTIER PUBLIC SCHOOL : RED ROCK, OK

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General NPI Number Information
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    NPI Number           |    1316075096
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    Entity Type          |    Organization 
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    Legal Business Name  |    FRONTIER PUBLIC SCHOOL 
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Dates
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    Enumeration Date     |    03/02/2007
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    Last Update Date     |    08/22/2020
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Provider Practice Location Address
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    Address Line         |    EAST HWY 15 
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    City                 |    RED ROCK
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    State                |    OK
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    Zip                  |    74651
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    Country              |    US
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    Telephone            |    580-723-4360
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    Fax                  |    580-723-4516
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Provider Business Mailing Address
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    Address Line         |    HIGHWAY 15 EAST 
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    City                 |    RED ROCK
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    State                |    OK
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    Zip                  |    74651
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    Country              |    US
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    Telephone            |    580-723-4360
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    Fax                  |    580-723-4516
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Authorized Official
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    Title or Position    |    COUNSELOR
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    Name                 |    MS. LORI ANN WOMACK 
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    Credential           |    
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    Telephone            |    580-723-4360
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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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