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General NPI Number Information
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NPI Number | 1679693964
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Entity Type | Organization
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Legal Business Name | CEDARVILLE HIGH SCHOOLS
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Dates
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Enumeration Date | 03/30/2007
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Last Update Date | 09/10/2008
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Provider Practice Location Address
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Address Line | 9500 PIRATES POINT
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City | CEDARVILLE
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State | AR
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Zip | 72932
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Country | US
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Telephone | 479-474-6136
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Fax |
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Provider Business Mailing Address
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Address Line | 9500 PIRATES POINT
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City | CEDARVILLE
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State | AR
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Zip | 72932
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Country | US
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Telephone | 479-474-6136
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Fax |
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Authorized Official
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Title or Position | SPECIAL EDUCATION LEA
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Name | MRS. SHARON BRASHER
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Credential |
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Telephone | 479-474-6136
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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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