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General NPI Number Information
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NPI Number | 1801113188
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Entity Type | Organization
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Legal Business Name | SOCIAL CIRCLE CITY SCHOOL SYSTEM
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Dates
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Enumeration Date | 04/27/2010
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Last Update Date | 04/27/2010
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Provider Practice Location Address
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Address Line | 147 ALCOVA DR
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City | SOCIAL CIRCLE
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State | GA
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Zip | 30025-4370
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Country | US
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Telephone | 770-464-2731
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Fax | 770-464-4920
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Provider Business Mailing Address
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Address Line | PO BOX 799
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City | WHITE SPRINGS
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State | FL
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Zip | 32096-0799
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Country | US
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Telephone | 386-884-9900
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Fax | 888-737-1652
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Authorized Official
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Title or Position | BILLING ADMINISTRATOR
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Name | MR. JOHN L VASSAR
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Credential |
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Telephone | 386-884-9900
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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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