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General NPI Number Information
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NPI Number | 1821389289
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Entity Type | Organization
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Legal Business Name | LUMBERTON PUBLIC SCHOOL DISTRICT
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Dates
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Enumeration Date | 04/20/2011
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Last Update Date | 04/20/2011
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Provider Practice Location Address
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Address Line | 107 E 10TH AVE
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City | LUMBERTON
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State | MS
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Zip | 39455-2513
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Country | US
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Telephone | 601-796-2441
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Fax |
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Provider Business Mailing Address
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Address Line | 107 E 10TH AVE
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City | LUMBERTON
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State | MS
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Zip | 39455-2513
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Country | US
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Telephone | 601-796-2441
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Fax |
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Authorized Official
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Title or Position | SUPERINTENDENT
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Name | DR. ROBERT WALKER
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Credential |
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Telephone | 601-796-2441
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QS1000X
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Taxonomy Name | Student Health Clinic/Center
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License Number |
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License Number State |
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