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General NPI Number Information
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NPI Number | 1871773762
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Entity Type | Organization
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Legal Business Name | PLACENTIA YORBA LINDA UNIFIED SCHOOL DISTRICT
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Dates
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Enumeration Date | 11/07/2007
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Last Update Date | 05/22/2013
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Provider Practice Location Address
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Address Line | 1301 E ORANGETHORPE AVE
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City | PLACENTIA
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State | CA
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Zip | 92870-5302
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Country | US
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Telephone | 714-986-7000
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Fax | 714-524-3034
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Provider Business Mailing Address
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Address Line | 1301 E ORANGETHORPE AVE
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City | PLACENTIA
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State | CA
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Zip | 92870-5302
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Country | US
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Telephone | 714-986-7000
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Fax | 714-524-3034
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Authorized Official
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Title or Position | DIRECTOR, S.E.L.P.A.
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Name | MRS. TRISHA BRADY
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Credential | MA
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Telephone | 714-985-8659
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 255249
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License Number State | CA
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Taxonomy #2
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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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