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General NPI Number Information
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NPI Number | 1801939301
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Entity Type | Organization
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Legal Business Name | TIDEHAVEN INDEPENDENT SCHOOL DISTRICT
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Dates
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Enumeration Date | 02/14/2007
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Last Update Date | 09/04/2007
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Provider Practice Location Address
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Address Line | 148 FM 1095
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City | EL MATON
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State | TX
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Zip | 77440
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Country | US
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Telephone | 361-588-6685
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Fax | 361-588-7109
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Provider Business Mailing Address
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Address Line | PO BOX 129
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City | ELMATON
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State | TX
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Zip | 77440-0129
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Country | US
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Telephone | 361-588-6685
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Fax | 361-588-7109
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Authorized Official
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Title or Position | SUPERINTENDENT
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Name | MR. TOM R JONES JR.
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Credential |
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Telephone | 361-588-6321
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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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