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General NPI Number Information
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NPI Number | 1679692602
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Entity Type | Organization
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Legal Business Name | CHRISTA MCAULIFFE REGIONAL CHARTER PUBLIC SCHOOL
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Dates
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Enumeration Date | 03/29/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 25 CLINTON ST
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City | FRAMINGHAM
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State | MA
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Zip | 01702-6702
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Country | US
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Telephone | 508-879-9000
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Fax | 508-879-1066
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Provider Business Mailing Address
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Address Line | 25 CLINTON ST
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City | FRAMINGHAM
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State | MA
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Zip | 01702-6702
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Country | US
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Telephone | 508-879-9000
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Fax | 508-879-1066
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Authorized Official
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Title or Position | BUSINESS MANAGER
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Name | MR. CHARLES PARK
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Credential |
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Telephone | 508-879-9000
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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 | 0418
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License Number State | MA
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