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NPI 1356872758

NPI 1356872758 : NORTHWEST ARKANSAS CLASSICAL ACADEMY : BENTONVILLE, AR

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General NPI Number Information
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    NPI Number           |    1356872758
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    Entity Type          |    Organization 
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    Legal Business Name  |    NORTHWEST ARKANSAS CLASSICAL ACADEMY 
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Dates
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    Enumeration Date     |    03/27/2017
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    Last Update Date     |    03/27/2017
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Provider Practice Location Address
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    Address Line         |    1302 MELISSA DR # 100 
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    City                 |    BENTONVILLE
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    State                |    AR
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    Zip                  |    72712-7942
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    Country              |    US
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    Telephone            |    479-715-6676
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1302 MELISSA DR # 100 
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    City                 |    BENTONVILLE
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    State                |    AR
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    Zip                  |    72712-7942
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    Country              |    US
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    Telephone            |    479-715-6676
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    Fax                  |    
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Authorized Official
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    Title or Position    |    FEDERAL FINANCE COORDINATOR
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    Name                 |     RHONDA  BRADFORD 
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    Credential           |    
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    Telephone            |    479-715-6676
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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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