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General NPI Number Information
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NPI Number | 1467508374
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Entity Type | Organization
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Legal Business Name | THE SCHOOL DISTRICT OF LEE COUNTY
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Dates
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Enumeration Date | 01/25/2007
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Last Update Date | 09/29/2008
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Provider Practice Location Address
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Address Line | 2855 COLONIAL BLVD. EXCEPTIONAL STUDENT EDUCATION/SCHOOL DISTRICT OF LEE CO
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City | FORT MYERS
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State | FL
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Zip | 33966
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Country | US
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Telephone | 239-337-8367
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Fax | 239-337-8653
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Provider Business Mailing Address
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Address Line | 2855 COLONIAL BLVD. EXCEPTIONAL STUDENT EDUCATION/SCHOOL DISTRICT OF LEE CO
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City | FORT MYERS
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State | FL
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Zip | 33966
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Country | US
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Telephone | 239-337-8367
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Fax | 239-337-8653
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Authorized Official
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Title or Position | COORDINATOR, EXCEPTIONAL STUDENT ED
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Name | MRS. LYN FERREIRA
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Credential | MS, CCC
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Telephone | 239-337-8367
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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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Legacy Identifiers
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Identifier #1
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Identifier Code | 008018701
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Identifier Type | MEDICAID
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Identifier State | FL
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Identifier Issuer |
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Proprietary Identifiers Ever Reported
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Identifier #1
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Identifier Code | 008018701
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Identifier Type | MEDICAID
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Identifier State | FL
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Identifier Issuer |
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