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General NPI Number Information
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NPI Number | 1437012234
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Entity Type | Organization
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Legal Business Name | EJE ELEMENTARY ACADEMY
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Dates
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Enumeration Date | 12/08/2025
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 851 S JOHNSON AVE
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City | EL CAJON
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State | CA
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Zip | 92020-5811
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Country | US
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Telephone | 619-401-4150
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Fax |
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Provider Business Mailing Address
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Address Line | 851 S JOHNSON AVE
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City | EL CAJON
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State | CA
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Zip | 92020-5811
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Country | US
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Telephone | 619-401-4150
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Fax |
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Authorized Official
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Title or Position | COMMUNITY SCHOOL COORDINATOR
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Name | JUAN SAMANIEGO
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Credential |
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Telephone | 619-402-5764
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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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