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General NPI Number Information
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NPI Number | 1801557400
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Entity Type | Organization
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Legal Business Name | SCHOOL DISTRICT #1 WASHINGTON COUNTY
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Dates
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Enumeration Date | 01/05/2022
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Last Update Date | 01/05/2022
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Provider Practice Location Address
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Address Line | 1100 DEERFIELD BLVD
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City | BLAIR
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State | NE
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Zip | 68008-3715
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Country | US
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Telephone | 402-426-2610
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Fax | 402-426-3110
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Provider Business Mailing Address
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Address Line | PO BOX 288
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City | BLAIR
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State | NE
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Zip | 68008-0288
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Country | US
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Telephone | 402-427-2716
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Fax | 402-426-3110
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Authorized Official
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Title or Position | BUSINESS MANAGER
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Name | TOM SHEARER
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Credential | CPA, INACTIVE
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Telephone | 402-427-2716
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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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