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General NPI Number Information
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NPI Number | 1376996900
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Entity Type | Organization
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Legal Business Name | CISCO INDEPENDENT SCHOOL DISTRICT
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Dates
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Enumeration Date | 07/19/2016
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Last Update Date | 07/19/2016
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Provider Practice Location Address
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Address Line | 1503 LIGGETT ST
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City | CISCO
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State | TX
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Zip | 76437-2801
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Country | US
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Telephone | 254-734-2020
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1645
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City | CISCO
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State | TX
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Zip | 76437-1645
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Country | US
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Telephone | 254-734-2020
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | JONI WEST
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Credential |
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Telephone | 254-734-2020
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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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