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General NPI Number Information
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NPI Number | 1710178264
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Entity Type | Organization
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Legal Business Name | SUPERINTENDENT OF BRINKLEY HIGH SCHOOL
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Dates
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Enumeration Date | 08/08/2007
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Last Update Date | 07/22/2008
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Provider Practice Location Address
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Address Line | 400 WEST LYNN
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City | BRINKLEY
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State | AR
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Zip | 72021-3400
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Country | US
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Telephone | 870-734-5010
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Fax | 870-734-5014
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Provider Business Mailing Address
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Address Line | 200 TIGER DR
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City | BRINKLEY
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State | AR
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Zip | 72021-3400
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Country | US
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Telephone | 870-734-5010
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Fax | 870-734-5187
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Authorized Official
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Title or Position | SUPERINTENDENT
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Name | MRS. BETTY S MCGRUDER
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Credential |
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Telephone | 870-734-5000
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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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