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General NPI Number Information
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NPI Number | 1457789901
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Entity Type | Organization
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Legal Business Name | AMERICAN HERITAGE CHARTER SCHOOL
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Dates
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Enumeration Date | 10/21/2013
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Last Update Date | 10/21/2013
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Provider Practice Location Address
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Address Line | 1736 SOUTH 35TH WEST
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City | IDAHO FALLS
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State | ID
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Zip | 83402
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Country | US
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Telephone | 208-529-6878
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Fax |
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Provider Business Mailing Address
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Address Line | 1736 SOUTH 35TH WEST
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City | IDAHO FALLS
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State | ID
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Zip | 83402
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Country | US
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Telephone | 208-529-6878
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Fax |
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Authorized Official
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Title or Position | SPECIAL EDUCATION DIRECTOR
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Name | MRS. TIFFNEE ANN HURST
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Credential |
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Telephone | 208-529-6878
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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 | ID
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