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General NPI Number Information
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NPI Number | 1447698139
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Entity Type | Organization
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Legal Business Name | BARACK OBAMA CHARTER SCHOOL
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Dates
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Enumeration Date | 06/05/2013
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1726 E 117TH ST
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City | LOS ANGELES
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State | CA
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Zip | 90059-2512
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Country | US
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Telephone | 818-456-4590
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Fax |
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Provider Business Mailing Address
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Address Line | 1726 E 117TH ST
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City | LOS ANGELES
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State | CA
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Zip | 90059-2512
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Country | US
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Telephone | 818-456-4590
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Fax |
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Authorized Official
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Title or Position | SPED TEACHER
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Name | MS. JANET LOUISE NORA
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Credential |
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Telephone | 818-456-4590
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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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Taxonomy #2
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State | CA
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