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General NPI Number Information
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NPI Number | 1649153297
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Entity Type | Organization
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Legal Business Name | ALTA VISTA PUBLIC CHARTER INC.
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Dates
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Enumeration Date | 07/30/2025
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Last Update Date | 07/30/2025
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Provider Practice Location Address
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Address Line | 737 WINDY POINT DR STE 101
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City | SAN MARCOS
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State | CA
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Zip | 92069-1936
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Country | US
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Telephone | 833-773-5388
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Fax |
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Provider Business Mailing Address
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Address Line | 177 HOLSTON DR
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City | LANCASTER
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State | CA
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Zip | 93535-4570
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | AREA SUPERINTENDENT
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Name | LINDSAY REESE
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Credential |
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Telephone | 619-633-9939
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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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