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General NPI Number Information
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NPI Number | 1760672505
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Entity Type | Organization
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Legal Business Name | TRINITY ISD
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Dates
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Enumeration Date | 07/27/2007
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Last Update Date | 07/27/2007
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Provider Practice Location Address
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Address Line | 101 WEST JEFFERSON
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City | TRINITY
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State | TX
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Zip | 75862-0000
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Country | US
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Telephone | 936-594-3569
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 752
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City | TRINITY
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State | TX
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Zip | 75862-0752
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Country | US
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Telephone | 936-594-3569
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Fax |
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Authorized Official
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Title or Position | SPECIAL ED DIRECTOR
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Name | SHELLEY MADELEY
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Credential |
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Telephone | 936-594-3569
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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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