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General NPI Number Information
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NPI Number | 1326161092
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Entity Type | Organization
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Legal Business Name | NORTH SACRAMENTO ELEM.
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Dates
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Enumeration Date | 04/09/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 670 DIXIEANNE AVE
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City | SACRAMENTO
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State | CA
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Zip | 95815-3023
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Country | US
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Telephone | 916-263-8301
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Fax | 916-263-8312
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Provider Business Mailing Address
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Address Line | 670 DIXIEANNE AVE
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City | SACRAMENTO
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State | CA
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Zip | 95815-3023
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Country | US
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Telephone | 916-263-8301
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Fax | 916-263-8312
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Authorized Official
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Title or Position | CHIEF OF SPECIAL SERVICES
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Name | MS. VICKI L BERK
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Credential |
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Telephone | 916-263-8301
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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 | CA
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