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NPI 1386451995

NPI 1386451995 : SIERRA FOOTHILL CHARTER SCHOOL : CATHEYS VALLEY, CA

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General NPI Number Information
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    NPI Number           |    1386451995
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    Entity Type          |    Organization 
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    Legal Business Name  |    SIERRA FOOTHILL CHARTER SCHOOL 
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Dates
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    Enumeration Date     |    12/17/2024
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    Last Update Date     |    12/17/2024
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Provider Practice Location Address
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    Address Line         |    4952 SCHOOL HOUSE RD 
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    City                 |    CATHEYS VALLEY
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    State                |    CA
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    Zip                  |    95306-9710
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    Country              |    US
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    Telephone            |    209-742-6222
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    4952 SCHOOL HOUSE RD 
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    City                 |    CATHEYS VALLEY
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    State                |    CA
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    Zip                  |    95306-9710
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    Country              |    US
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    Telephone            |    209-742-6222
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PRINCIPAL
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    Name                 |    MR. SEAN SEBASTIAN JACOBS 
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    Credential           |    
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    Telephone            |    209-742-6222
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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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