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General NPI Number Information
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NPI Number | 1467358697
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Entity Type | Organization
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Legal Business Name | EEL RIVER CHARTER SCHOOL
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Dates
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Enumeration Date | 10/15/2026
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Last Update Date | 10/15/2026
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Provider Practice Location Address
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Address Line | 76350 MAIN ST #218
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City | COVELO
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State | CA
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Zip | 95428-0218
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Country | US
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Telephone | 707-983-6946
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Fax | 707-983-6197
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Provider Business Mailing Address
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Address Line | PO BOX 218
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City | COVELO
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State | CA
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Zip | 95428-0218
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Country | US
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Telephone | 707-983-6946
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Fax | 707-983-6197
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Authorized Official
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Title or Position | BUSINESS MANAGER
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Name | TINA WILSON
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Credential |
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Telephone | 707-983-6946
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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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