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General NPI Number Information
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NPI Number | 1760525455
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Entity Type | Organization
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Legal Business Name | SIERRA VISTA PUBLIC SCHOOLS
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Dates
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Enumeration Date | 02/14/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3555 FRY BOULEVARD
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City | SIERRA VISTA
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State | AZ
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Zip | 85635
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Country | US
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Telephone | 520-515-2790
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Fax |
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Provider Business Mailing Address
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Address Line | 2112 W. SAGUARO ROAD.
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City | WILLCOX
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State | AZ
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Zip | 85643
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Country | US
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Telephone | 520-384-3265
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Fax |
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Authorized Official
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Title or Position | SCHOOL PSYCHOLOGIST
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Name | MS. LYNN DARLENE PRICE
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Credential | CSP
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Telephone | 520-515-2790
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number |
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License Number State | AZ
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