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General NPI Number Information
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NPI Number | 1467042556
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Entity Type | Organization
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Legal Business Name | JOHN MUIR CHARTER SCHOOLS
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Dates
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Enumeration Date | 01/22/2021
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Last Update Date | 01/22/2021
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Provider Practice Location Address
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Address Line | 117 NEW MOHAWK RD STE F
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City | NEVADA CITY
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State | CA
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Zip | 95959-3227
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Country | US
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Telephone | 530-272-4008
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Fax | 530-272-4009
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Provider Business Mailing Address
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Address Line | 117 NEW MOHAWK RD STE F
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City | NEVADA CITY
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State | CA
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Zip | 95959-3227
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Country | US
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Telephone | 530-272-4008
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Fax | 530-272-4009
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Authorized Official
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Title or Position | INTERIM CEO
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Name | MICHAEL WEGNER
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Credential |
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Telephone | 530-272-4008
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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 |
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