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General NPI Number Information
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NPI Number | 1457685240
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Entity Type | Organization
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Legal Business Name | UNIFIED SCHOOL DISTRICT NO 264
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Dates
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Enumeration Date | 09/25/2009
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Last Update Date | 09/25/2009
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Provider Practice Location Address
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Address Line | 150 S PROSPECT ST
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City | CLEARWATER
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State | KS
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Zip | 67026-2601
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Country | US
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Telephone | 620-584-2091
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Fax | 620-584-6705
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Provider Business Mailing Address
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Address Line | 150 S PROSPECT ST PO BOX 248
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City | CLEARWATER
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State | KS
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Zip | 67026-2601
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Country | US
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Telephone | 620-584-2091
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Fax | 620-584-6705
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Authorized Official
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Title or Position | SUPERINTENDENT
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Name | MR. MIKE ROTH
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Credential |
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Telephone | 620-584-2091
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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 | KS
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