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General NPI Number Information
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NPI Number | 1740358712
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Entity Type | Organization
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Legal Business Name | FAIRFIELD COUNTY SCHOOLS
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Dates
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Enumeration Date | 11/30/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1226 U.S. HIGHWAY 321 BY PASS SOUTH
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City | WINNSBORO
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State | SC
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Zip | 29180-0622
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Country | US
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Telephone | 803-635-4607
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Fax | 803-635-4825
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Provider Business Mailing Address
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Address Line | PO BOX 622
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City | WINNSBORO
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State | SC
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Zip | 29180-0622
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Country | US
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Telephone | 803-635-4607
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Fax | 803-635-4825
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Authorized Official
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Title or Position | MEDICAID SPECALIST
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Name | MR. RANDY SMALL
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Credential |
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Telephone | 803-635-4607
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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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