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General NPI Number Information
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NPI Number | 1508319658
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Entity Type | Organization
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Legal Business Name | SWEETWATER UNION HIGH SCHOOL DISTRICT
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Dates
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Enumeration Date | 07/25/2016
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Last Update Date | 11/11/2022
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Provider Practice Location Address
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Address Line | 1051 PICADOR BLVD
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City | SAN DIEGO
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State | CA
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Zip | 92154-3548
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Country | US
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Telephone | 619-407-4933
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Fax |
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Provider Business Mailing Address
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Address Line | 1130 5TH AVE
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City | CHULA VISTA
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State | CA
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Zip | 91911-2812
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Country | US
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Telephone | 619-407-4920
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Fax |
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Authorized Official
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Title or Position | CHIEF OF EDUCATIONAL EQUITY
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Name | DR. R. VERNON MOORE
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Credential | ED.D.
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Telephone | 619-407-4933
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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