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General NPI Number Information
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NPI Number | 1659563450
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Entity Type | Organization
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Legal Business Name | SNOWLINE JOINT UNIFIED SCHOOL DISTRICT
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Dates
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Enumeration Date | 08/15/2007
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Last Update Date | 08/15/2007
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Provider Practice Location Address
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Address Line | 4075 NIELSON RD
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City | PHELAN
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State | CA
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Zip | 92371-8896
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Country | US
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Telephone | 760-868-5817
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Fax | 760-868-5806
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Provider Business Mailing Address
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Address Line | PO BOX 296000
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City | PHELAN
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State | CA
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Zip | 92329-6000
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Country | US
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Telephone | 760-868-5817
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Fax | 760-868-5806
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Authorized Official
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Title or Position | DEPUTY SUPERINTENDENT
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Name | DR. ERIC JOHNSTON
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Credential | PHD
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Telephone | 760-868-5817
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YS0200X
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Taxonomy Name | School Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 172A00000X
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Taxonomy Name | Driver
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 163WS0200X
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Taxonomy Name | School Registered Nurse
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License Number |
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License Number State |
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