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General NPI Number Information
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NPI Number | 1770627382
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Entity Type | Organization
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Legal Business Name | TEXARKANA IND SCHOOL DISTRICT
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Dates
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Enumeration Date | 02/16/2007
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Last Update Date | 10/22/2010
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Provider Practice Location Address
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Address Line | 4241 SUMMERHILL RD
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City | TEXARKANA
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State | TX
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Zip | 75503-2733
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Country | US
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Telephone | 903-794-3651
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Fax | 903-255-3280
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Provider Business Mailing Address
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Address Line | 4241 SUMMERHILL RD
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City | TEXARKANA
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State | TX
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Zip | 75503-2733
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Country | US
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Telephone | 903-794-3651
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Fax | 903-255-3280
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Authorized Official
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Title or Position | DIRECTOR OF SPECIAL POPULATIONS
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Name | SHAWN DAVIS
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Credential |
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Telephone | 903-793-7561
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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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