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General NPI Number Information
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NPI Number | 1902619059
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Entity Type | Organization
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Legal Business Name | BUTTEVILLE UNION ELEMENTARY
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Dates
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Enumeration Date | 01/30/2025
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Last Update Date | 01/30/2025
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Provider Practice Location Address
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Address Line | 24512 EDGEWOOD RD
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City | WEED
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State | CA
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Zip | 96094-9574
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Country | US
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Telephone | 530-938-2255
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Fax |
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Provider Business Mailing Address
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Address Line | 24512 EDGEWOOD RD
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City | WEED
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State | CA
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Zip | 96094-9574
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | SUPERINTENDENT
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Name | ERIC BRAGG
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Credential |
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Telephone | 530-938-2255
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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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