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General NPI Number Information
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NPI Number | 1891910675
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Entity Type | Organization
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Legal Business Name | HUMBOLDT UNIFIED SCHOOL DISTRICT #22
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Dates
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Enumeration Date | 04/16/2007
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Last Update Date | 08/06/2008
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Provider Practice Location Address
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Address Line | 8766 E HWY 69 ATTN DONNA THAXTON SPECIAL SERVICES OFFICE
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City | PRESCOTT VALLEY
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State | AZ
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Zip | 86314
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Country | US
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Telephone | 928-759-4028
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Fax | 928-759-4030
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Provider Business Mailing Address
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Address Line | 8766 E HWY 69 SSO
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City | PRESCOTT VALLEY
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State | AZ
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Zip | 86314
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Country | US
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Telephone | 928-759-4028
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Fax | 928-759-4030
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Authorized Official
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Title or Position | DIRECTOR OF SPECIAL EDUCATION
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Name | KAY B TURNER
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Credential | EDD
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Telephone | 928-759-4028
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN025333
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License Number State | AZ
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