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General NPI Number Information
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NPI Number | 1417047143
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Entity Type | Organization
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Legal Business Name | OAKVILLE SCHOOL DISTRICT #400
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Dates
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Enumeration Date | 10/13/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 103 SCHOOL STREET
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City | OAKVILLE
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State | WA
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Zip | 98568
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Country | US
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Telephone | 360-273-5947
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Fax |
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Provider Business Mailing Address
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Address Line | 103 SCHOOL STREET PO BOX H
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City | OAKVILLE
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State | WA
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Zip | 98568
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Country | US
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Telephone | 360-273-5947
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Fax |
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Authorized Official
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Title or Position | PRINCIPAL/SPECIAL ED. DIRECTOR
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Name | MR. KEVIN ACUFF
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Credential |
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Telephone | 360-273-5947
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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 | WA
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