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General NPI Number Information
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NPI Number | 1538019260
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Entity Type | Organization
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Legal Business Name | SUWANNEE COUNTY SCHOOL BOARD
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Dates
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Enumeration Date | 02/02/2026
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Last Update Date | 02/02/2026
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Provider Practice Location Address
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Address Line | 1740 OHIO AVE S
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City | LIVE OAK
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State | FL
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Zip | 32064-4500
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Country | US
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Telephone | 386-647-4632
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Fax | 386-647-4632
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Provider Business Mailing Address
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Address Line | 1740 OHIO AVE S
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City | LIVE OAK
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State | FL
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Zip | 32064-4500
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Country | US
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Telephone | 386-647-4632
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Fax | 386-647-4632
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Authorized Official
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Title or Position | MEDICAID CONTACT
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Name | TYLYN STANSEL
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Credential |
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Telephone | 386-647-4632
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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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