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NPI 1821116765

NPI 1821116765 : BUCKLIN PUBLIC SCHOOLS : BUCKLIN, MO

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General NPI Number Information
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    NPI Number           |    1821116765
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    Entity Type          |    Organization 
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    Legal Business Name  |    BUCKLIN PUBLIC SCHOOLS 
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Dates
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    Enumeration Date     |    03/27/2007
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    Last Update Date     |    03/04/2009
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Provider Practice Location Address
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    Address Line         |    26832 HIGHWAY 129 BUCKLIN PUBLIC SCHOOLS
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    City                 |    BUCKLIN
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    State                |    MO
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    Zip                  |    64631-9230
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    Country              |    US
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    Telephone            |    660-695-3555
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    Fax                  |    660-395-3345
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Provider Business Mailing Address
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    Address Line         |    26832 HIGHWAY 129 
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    City                 |    BUCKLIN
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    State                |    MO
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    Zip                  |    64631-9230
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    Country              |    US
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    Telephone            |    660-695-3555
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    Fax                  |    660-395-3345
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Authorized Official
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    Title or Position    |    SUPERINTENDENT SECRETARY
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    Name                 |     JACKIE  HAYNES 
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    Credential           |    
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    Telephone            |    660-695-3555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    225X00000X
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    Taxonomy Name        |    Occupational Therapist
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    235Z00000X
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    Taxonomy Name        |    Speech-Language Pathologist
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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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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