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General NPI Number Information
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NPI Number | 1780888461
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Entity Type | Organization
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Legal Business Name | LAKE COUNTY SCHOOLS
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Dates
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Enumeration Date | 06/14/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 201 W BURLEIGH BLVD
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City | TAVARES
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State | FL
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Zip | 32778-2407
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Country | US
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Telephone | 352-253-6600
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Fax |
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Provider Business Mailing Address
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Address Line | 201 W BURLEIGH BLVD
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City | TAVARES
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State | FL
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Zip | 32778-2407
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Country | US
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Telephone | 352-253-6600
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | MS. LINDA W. CARRIS
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Credential |
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Telephone | 352-253-6600
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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 | FL
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