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General NPI Number Information
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NPI Number | 1891885521
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Entity Type | Organization
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Legal Business Name | CLEVELAND PUBLIC SCHOOLS
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Dates
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Enumeration Date | 10/13/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 600 N GILBERT AVE
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City | CLEVELAND
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State | OK
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Zip | 74020-1023
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Country | US
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Telephone | 918-358-2210
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Fax | 918-358-3071
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Provider Business Mailing Address
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Address Line | 600 N GILBERT AVE
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City | CLEVELAND
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State | OK
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Zip | 74020-1023
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Country | US
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Telephone | 918-358-2210
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Fax | 918-358-3071
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Authorized Official
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Title or Position | ASSISTANT SUPT. OF SCHOOLS
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Name | MS. KARIE LYNN KELLERT
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Credential |
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Telephone | 918-358-2210
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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 | OK
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