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General NPI Number Information
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NPI Number | 1649374810
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Entity Type | Organization
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Legal Business Name | SAN JUAN ISLAND SCHOOL DISTRICT
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Dates
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Enumeration Date | 09/11/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 285 BLAIR AVENUE
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City | FRIDAY HARBOR
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State | WA
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Zip | 98250
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Country | US
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Telephone | 360-378-5214
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Fax | 360-378-9750
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Provider Business Mailing Address
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Address Line | 285 BLAIR AVENUE PO BOX 458
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City | FRIDAY HARBOR
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State | WA
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Zip | 98250
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Country | US
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Telephone | 360-378-5214
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Fax | 360-378-9750
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Authorized Official
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Title or Position | DIRECTOR OF STUDENT SERVICES
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Name | KAY JAKUTIS
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Credential |
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Telephone | 360-317-5973
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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 | WA
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