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General NPI Number Information
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NPI Number | 1740341130
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Entity Type | Organization
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Legal Business Name | GREENBRIER SCHOOL DISTRICT
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Dates
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Enumeration Date | 12/12/2006
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Last Update Date | 12/02/2011
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Provider Practice Location Address
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Address Line | 4 SCHOOL DRIVE
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City | GREENBRIER
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State | AR
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Zip | 72058-9267
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Country | US
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Telephone | 501-679-4808
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Fax | 501-679-1024
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Provider Business Mailing Address
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Address Line | 4 SCHOOL DRIVE
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City | GREENBRIER
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State | AR
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Zip | 72058-9267
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Country | US
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Telephone | 501-679-4808
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Fax | 501-679-1024
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Authorized Official
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Title or Position | SOCIAL SERVICES DIRECTOR
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Name | MRS. KIM DECORTE
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Credential |
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Telephone | 501-679-1057
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WS0200X
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Taxonomy Name | School Registered Nurse
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License Number |
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License Number State |
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Taxonomy #2
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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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