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General NPI Number Information
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NPI Number | 1891515169
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Entity Type | Organization
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Legal Business Name | EDUCATIONAL SERVICE DISTRICT 113
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Dates
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Enumeration Date | 10/11/2024
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Last Update Date | 10/11/2024
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Provider Practice Location Address
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Address Line | 6005 TYEE DR SW
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City | TUMWATER
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State | WA
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Zip | 98512-7356
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Country | US
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Telephone | 360-748-3384
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Fax |
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Provider Business Mailing Address
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Address Line | 151 NE HAMPE WAY STE C4-1
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City | CHEHALIS
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State | WA
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Zip | 98532-2403
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Country | US
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Telephone | 360-748-3384
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Fax |
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Authorized Official
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Title or Position | SPECIAL ED SUPPORT SPECIALIST
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Name | JULI ASELTON
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Credential |
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Telephone | 360-748-3384
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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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