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General NPI Number Information
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NPI Number | 1457521346
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Entity Type | Organization
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Legal Business Name | SHOSHONE SCHOOL DISTRICT NO. 312
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Dates
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Enumeration Date | 03/06/2008
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Last Update Date | 03/06/2008
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Provider Practice Location Address
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Address Line | 61 E HIGHWAY 24
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City | SHOSHONE
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State | ID
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Zip | 83352-5338
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Country | US
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Telephone | 208-886-2381
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Fax | 208-886-2038
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Provider Business Mailing Address
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Address Line | 61 E HIGHWAY 24
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City | SHOSHONE
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State | ID
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Zip | 83352-5338
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Country | US
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Telephone | 208-886-2381
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Fax | 208-886-2038
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Authorized Official
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Title or Position | BUSINESS MANAGER
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Name | MRS. SHANNON HARRIS
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Credential |
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Telephone | 208-886-2381
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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 | 312
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License Number State | ID
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