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General NPI Number Information
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NPI Number | 1538642467
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Entity Type | Organization
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Legal Business Name | LANE COUNTY SCHOOL DISTRICT NO. 19
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Dates
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Enumeration Date | 09/06/2018
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Last Update Date | 09/06/2018
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Provider Practice Location Address
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Address Line | 640 A ST
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City | SPRINGFIELD
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State | OR
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Zip | 97477-4609
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Country | US
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Telephone | 541-726-3206
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Fax |
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Provider Business Mailing Address
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Address Line | 640 A ST
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City | SPRINGFIELD
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State | OR
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Zip | 97477-4609
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Country | US
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Telephone | 541-726-3206
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Fax |
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Authorized Official
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Title or Position | CHIEF OPERATIONS OFFICER
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Name | BRETT YANCEY
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Credential |
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Telephone | 541-726-3206
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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 | OR
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