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General NPI Number Information
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NPI Number | 1609910827
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Entity Type | Organization
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Legal Business Name | SOUTH BAY UNION ELEMENTARY SCHOOL DISTRICT
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Dates
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Enumeration Date | 02/19/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 6077 LOMA AVE
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City | EUREKA
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State | CA
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Zip | 95503-6869
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Country | US
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Telephone | 707-476-8549
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Fax | 707-444-6246
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Provider Business Mailing Address
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Address Line | 6077 LOMA AVE
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City | EUREKA
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State | CA
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Zip | 95503-6869
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Country | US
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Telephone | 707-476-8549
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Fax | 707-444-6246
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Authorized Official
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Title or Position | SUPERINTENDENTPRINCIPAL
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Name | MRS. MARIE TWIBELL
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Credential |
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Telephone | 707-476-8549
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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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