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General NPI Number Information
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NPI Number | 1386830214
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Entity Type | Organization
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Legal Business Name | KINGSBURG JOINT UNION ELEMENTARY
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Dates
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Enumeration Date | 09/25/2007
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Last Update Date | 09/25/2007
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Provider Practice Location Address
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Address Line | 1310 STROUD AVE
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City | KINGSBURG
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State | CA
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Zip | 93631-1000
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Country | US
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Telephone | 559-897-2331
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Fax |
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Provider Business Mailing Address
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Address Line | 1310 STROUD AVE
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City | KINGSBURG
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State | CA
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Zip | 93631-1000
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Country | US
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Telephone | 559-897-2331
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF SPECIAL ED.
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Name | MR. BRAD BERGSTROM
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Credential |
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Telephone | 559-897-6864
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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 | CA
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