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General NPI Number Information
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NPI Number | 1568304343
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Entity Type | Organization
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Legal Business Name | ST GEORGE ACADEMY
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Dates
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Enumeration Date | 04/08/2026
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Last Update Date | 04/08/2026
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Provider Practice Location Address
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Address Line | 380 E 3090 S
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City | WASHINGTON
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State | UT
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Zip | 84780-8620
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Country | US
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Telephone | 435-319-0105
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Fax |
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Provider Business Mailing Address
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Address Line | 380 E 3090 S
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City | WASHINGTON
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State | UT
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Zip | 84780-8620
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Country | US
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Telephone | 435-319-0105
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF SPECIALIZED INSTRUCTION
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Name | LORELL LOOSLE
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Credential | M ED
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Telephone | 435-319-0105
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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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