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General NPI Number Information
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NPI Number | 1376110999
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Entity Type | Organization
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Legal Business Name | RIVERBANK UNIFIED SCHOOL DISTRICT
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Dates
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Enumeration Date | 06/10/2021
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Last Update Date | 02/05/2025
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Provider Practice Location Address
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Address Line | 6715 7TH ST
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City | RIVERBANK
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State | CA
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Zip | 95367-2345
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Country | US
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Telephone | 209-869-2538
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Fax |
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Provider Business Mailing Address
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Address Line | 6715 7TH ST
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City | RIVERBANK
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State | CA
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Zip | 95367-2345
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Country | US
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Telephone | 209-869-2538
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Fax |
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Authorized Official
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Title or Position | ASST SUP OF STUDENT SERVICES
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Name | ELIZABETH RODARTE
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Credential |
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Telephone | 209-869-2538
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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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