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General NPI Number Information
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NPI Number | 1811154099
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Entity Type | Organization
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Legal Business Name | SHASTA UNION HIGH SCHOOL DISTRICT
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Dates
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Enumeration Date | 05/16/2008
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Last Update Date | 05/16/2008
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Provider Practice Location Address
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Address Line | 2200 EUREKA WAY STE B
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City | REDDING
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State | CA
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Zip | 96001-0337
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Country | US
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Telephone | 530-241-3261
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Fax |
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Provider Business Mailing Address
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Address Line | 2200 EUREKA WAY STE B
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City | REDDING
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State | CA
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Zip | 96001-0337
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Country | US
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Telephone | 530-241-3261
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Fax |
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Authorized Official
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Title or Position | SPECIAL ED NURSE
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Name | MS. CYNDI SUTER
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Credential |
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Telephone | 530-241-3261
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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 | SS4570136
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License Number State | CA
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