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General NPI Number Information
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NPI Number | 1487901641
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Entity Type | Organization
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Legal Business Name | PACIFIC GROVE UNIFIED SCHOOL DISTRICT
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Dates
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Enumeration Date | 08/07/2012
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Last Update Date | 08/07/2012
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Provider Practice Location Address
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Address Line | 435 HILLCREST AVE
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City | PACIFIC GROVE
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State | CA
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Zip | 93950-4900
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Country | US
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Telephone | 831-646-6520
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Fax | 831-646-6500
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Provider Business Mailing Address
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Address Line | 435 HILLCREST AVE
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City | PACIFIC GROVE
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State | CA
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Zip | 93950-4900
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Country | US
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Telephone | 831-646-6520
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Fax | 831-646-6500
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Authorized Official
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Title or Position | SUPERINTENDENT
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Name | DR. RALPH PORRAS
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Credential |
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Telephone | 831-646-6510
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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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