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General NPI Number Information
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NPI Number | 1902321797
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Entity Type | Organization
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Legal Business Name | ROCKY MOUNTAIN SCHOOL DISTRICT NO 24
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Dates
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Enumeration Date | 08/14/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | RR 1 , B 665
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City | STILWELL
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State | OK
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Zip | 74960
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Country | US
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Telephone | 908-696-7509
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Fax | 918-696-3654
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Provider Business Mailing Address
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Address Line | RR 1 BOX 665
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City | STILWELL
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State | OK
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Zip | 74960
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Country | US
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Telephone | 908-696-7509
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Fax | 918-696-3654
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Authorized Official
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Title or Position | SUPERINTENDENT
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Name | MRS. ALICIA KETCHER
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Credential |
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Telephone | 918-696-7509
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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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