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General NPI Number Information
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NPI Number | 1457628281
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Entity Type | Organization
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Legal Business Name | PHELPS CLIFTON SPRINGS SCHOOL DISTRICT
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Dates
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Enumeration Date | 11/22/2011
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Last Update Date | 11/22/2011
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Provider Practice Location Address
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Address Line | 1490 ROUTE 488
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City | CLIFTON SPRINGS
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State | NY
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Zip | 14432-9308
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Country | US
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Telephone | 315-548-6420
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Fax | 315-548-6429
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Provider Business Mailing Address
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Address Line | 1490 RTE.488
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City | CLIFTON SPRINGS
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State | NY
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Zip | 14424
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Country | US
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Telephone | 315-548-6420
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Fax | 315-548-6429
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Authorized Official
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Title or Position | SUPERINTENDENT
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Name | MIKE FORD
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Credential |
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Telephone | 315-548-6420
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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 | 296597-1
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License Number State | NY
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