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NPI 1861771313

NPI 1861771313 : FAIRFIELD ISD : FAIRFIELD, TX

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General NPI Number Information
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    NPI Number           |    1861771313
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    Entity Type          |    Organization 
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    Legal Business Name  |    FAIRFIELD ISD 
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Dates
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    Enumeration Date     |    08/15/2011
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    Last Update Date     |    08/15/2011
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Provider Practice Location Address
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    Address Line         |    615 POST OAK RD 
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    City                 |    FAIRFIELD
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    State                |    TX
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    Zip                  |    75840-2005
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    Country              |    US
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    Telephone            |    903-389-2532
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    Fax                  |    903-389-7050
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Provider Business Mailing Address
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    Address Line         |    615 POST OAK RD 
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    City                 |    FAIRFIELD
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    State                |    TX
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    Zip                  |    75840-2005
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    Country              |    US
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    Telephone            |    903-389-2532
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    Fax                  |    903-389-7050
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Authorized Official
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    Title or Position    |    ASSISTANT SUPERINTENDENT
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    Name                 |    MS. SHIELA  DOVE 
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    Credential           |    
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    Telephone            |    903-389-2532
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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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