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General NPI Number Information
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NPI Number | 1346339686
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Entity Type | Organization
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Legal Business Name | FANSHAWE PUBLIC SCHOOLS
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Dates
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Enumeration Date | 10/12/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | HWY 270
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City | FANSHAWE
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State | OK
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Zip | 74935-0100
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Country | US
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Telephone | 918-659-2341
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Fax | 918-659-2275
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Provider Business Mailing Address
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Address Line | HWY 270 P.O. BOX 100
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City | FANSHAWE
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State | OK
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Zip | 74935-0100
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Country | US
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Telephone | 918-659-2341
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Fax | 918-659-2275
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Authorized Official
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Title or Position | SUPERINTENDENT
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Name | C. LYNN BULLARD
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Credential |
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Telephone | 918-659-2341
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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