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General NPI Number Information
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NPI Number | 1669500765
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Entity Type | Organization
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Legal Business Name | LA PLATA COUNTY SCHOOL DISTRICT 10 JT-R
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Dates
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Enumeration Date | 03/01/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 24 S CLOVER LN
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City | BAYFIELD
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State | CO
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Zip | 81122-8761
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Country | US
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Telephone | 970-884-2496
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Fax |
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Provider Business Mailing Address
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Address Line | 24 S CLOVER LN
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City | BAYFIELD
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State | CO
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Zip | 81122-8761
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Country | US
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Telephone | 970-884-2496
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Fax |
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Authorized Official
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Title or Position | BUSINESS MANAGER
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Name | MS. AMY LYONS
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Credential |
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Telephone | 970-884-2496
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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 | CO
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