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General NPI Number Information
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NPI Number | 1366734121
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Entity Type | Organization
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Legal Business Name | AFTON PUBLIC SCHOOLS
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Dates
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Enumeration Date | 05/11/2011
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Last Update Date | 10/16/2013
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Provider Practice Location Address
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Address Line | 410 S MAIN ST
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City | AFTON
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State | OK
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Zip | 74331-8933
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Country | US
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Telephone | 918-257-4470
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Fax | 918-257-4846
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Provider Business Mailing Address
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Address Line | PO BOX 100
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City | AFTON
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State | OK
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Zip | 74331-0100
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Country | US
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Telephone | 918-257-8303
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Fax | 918-257-4846
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Authorized Official
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Title or Position | SUPERINTENDENT
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Name | MR. RANDY GARDNER
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Credential |
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Telephone | 918-257-4470
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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