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General NPI Number Information
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NPI Number | 1356209183
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Entity Type | Organization
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Legal Business Name | MARK TWAIN UNION ELEMENTARY SCHOOL DISTRICT
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Dates
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Enumeration Date | 01/12/2026
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Last Update Date | 01/12/2026
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Provider Practice Location Address
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Address Line | 981 TUOLUMNE AVE
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City | ANGELS CAMP
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State | CA
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Zip | 95222-9370
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Country | US
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Telephone | 209-736-1859
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1359
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City | ANGELS CAMP
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State | CA
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Zip | 95222-1359
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Country | US
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Telephone | 209-736-1859
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Fax |
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Authorized Official
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Title or Position | CBO DIRECTOR OF BUSINESS SERVICES
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Name | JENINE FROST
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Credential |
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Telephone | 209-736-1859
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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