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General NPI Number Information
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NPI Number | 1841346244
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Entity Type | Organization
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Legal Business Name | CLEAR CREEK SCHOOL DISTRICT
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Dates
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Enumeration Date | 01/26/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 320 HWY 103
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City | IDAHO SPRINGS
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State | CA
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Zip | 80432
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Country | US
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Telephone | 303-567-3850
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3399
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City | IDAHO SPRINGS
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State | CO
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Zip | 80452
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Country | US
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Telephone | 303-567-3850
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Fax | 303-567-3861
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Authorized Official
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Title or Position | DIRECTOR OF MOUNT EVANS BOCES
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Name | MRS. MELISSA R COOPER
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Credential | MA
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Telephone | 303-567-3855
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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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