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General NPI Number Information
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NPI Number | 1760829675
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Entity Type | Organization
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Legal Business Name | BUCKHOLTS ISD
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Dates
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Enumeration Date | 05/31/2013
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Last Update Date | 05/31/2013
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Provider Practice Location Address
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Address Line | 203 S 10TH ST
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City | BUCKHOLTS
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State | TX
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Zip | 76518-2882
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Country | US
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Telephone | 254-593-3011
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 248
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City | BUCKHOLTS
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State | TX
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Zip | 76518-0248
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Country | US
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Telephone | 254-593-3011
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Fax | 254-593-2270
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Authorized Official
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Title or Position | SUPERINTENDENT
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Name | DIRK D DYKSTRA
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Credential |
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Telephone | 254-593-3011
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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 | 166907
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License Number State | TX
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