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General NPI Number Information
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NPI Number | 1639393911
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Entity Type | Organization
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Legal Business Name | BOARD OF EDUCATION WAPANUCKA SCHOOL DISTRICT I037
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Dates
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Enumeration Date | 04/11/2007
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Last Update Date | 08/06/2008
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Provider Practice Location Address
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Address Line | 502 S. CHOCTAW AVE.
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City | WAPANUCKA
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State | OK
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Zip | 73461-0188
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Country | US
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Telephone | 580-937-4288
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Fax | 580-937-4801
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Provider Business Mailing Address
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Address Line | PO BOX 188 502 SOUTH CHOCTAW AVENUE
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City | WAPANUCKA
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State | OK
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Zip | 73461-0188
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Country | US
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Telephone | 580-937-4288
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Fax | 580-937-4801
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Authorized Official
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Title or Position | SUPERINTENDENT
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Name | MR. STANLEY P WILLIAMS
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Credential |
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Telephone | 580-937-4288
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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