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General NPI Number Information
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NPI Number | 1487277844
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Entity Type | Organization
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Legal Business Name | LAKE HAVASU UNIFIED SCHOOL DISTRCT
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Dates
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Enumeration Date | 05/20/2020
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Last Update Date | 05/20/2020
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Provider Practice Location Address
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Address Line | 1250 PAWNEE DR
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City | LAKE HAVASU CITY
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State | AZ
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Zip | 86406-8764
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Country | US
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Telephone | 928-680-6082
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Fax |
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Provider Business Mailing Address
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Address Line | 1250 PAWNEE DR
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City | LAKE HAVASU CITY
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State | AZ
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Zip | 86406-8764
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Country | US
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Telephone | 928-680-6082
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Fax |
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Authorized Official
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Title or Position | SCHOOL LPN
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Name | JESSICA MARIE FEHNER
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Credential | LPN
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Telephone | 928-680-6082
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number |
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License Number State |
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