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General NPI Number Information
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NPI Number | 1750487450
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Entity Type | Organization
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Legal Business Name | FLOWING WELLS UNIFIED SCHOOL DISTRICT
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Dates
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Enumeration Date | 09/16/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1450 W PRINCE RD
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City | TUCSON
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State | AZ
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Zip | 85705-3014
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Country | US
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Telephone | 520-696-8836
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Fax | 520-690-2405
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Provider Business Mailing Address
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Address Line | 1450 W PRINCE RD
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City | TUCSON
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State | AZ
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Zip | 85705-3014
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Country | US
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Telephone | 520-696-8836
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Fax | 520-690-2405
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Authorized Official
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Title or Position | DIRECTOR OF STUDENT SERVICES
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Name | RENE GROUND
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Credential | ED.D.
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Telephone | 520-696-8836
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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 | 554114
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License Number State | AZ
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