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General NPI Number Information
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NPI Number | 1710274923
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Entity Type | Organization
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Legal Business Name | MEADOWLAND CHARTER SCHOOL
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Dates
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Enumeration Date | 07/08/2011
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Last Update Date | 07/08/2011
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Provider Practice Location Address
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Address Line | 121 OLD SAN ANTONIO RD
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City | BOERNE
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State | TX
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Zip | 78006-3415
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Country | US
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Telephone | 830-331-4094
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Fax |
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Provider Business Mailing Address
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Address Line | 7330 SAN PEDRO AVE SUITE 670
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City | SAN ANTONIO
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State | TX
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Zip | 78216-6235
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Country | US
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Telephone | 210-447-9101
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DEBBIE CONSTABLE
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Credential |
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Telephone | 210-447-9101
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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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