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General NPI Number Information
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NPI Number | 1366732349
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Entity Type | Organization
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Legal Business Name | HERITAGE PEAK CHARTER SCHOOL
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Dates
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Enumeration Date | 04/12/2011
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Last Update Date | 04/12/2011
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Provider Practice Location Address
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Address Line | 3600 MADISON AVE SUITE 59
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City | NORTH HIGHLANDS
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State | CA
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Zip | 95660-5077
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Country | US
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Telephone | 866-992-9033
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Fax | 916-338-4770
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Provider Business Mailing Address
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Address Line | 3600 MADISON AVE SUITE 59
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City | NORTH HIGHLANDS
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State | CA
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Zip | 95660-5077
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Country | US
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Telephone | 866-992-9033
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Fax | 916-338-4770
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Authorized Official
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Title or Position | SUPERINTENDENT
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Name | MR. PAUL KEEFER
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Credential |
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Telephone | 866-992-9033
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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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