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General NPI Number Information
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NPI Number | 1912510975
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Entity Type | Organization
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Legal Business Name | SANDOVAL ACADEMY OF BILINGUAL EDUCATION
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Dates
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Enumeration Date | 08/28/2020
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Last Update Date | 08/28/2020
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Provider Practice Location Address
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Address Line | 4321 FULCRUM WAY NE STE A
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City | RIO RANCHO
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State | NM
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Zip | 87144-8410
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Country | US
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Telephone | 505-771-0555
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Fax | 505-771-9071
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Provider Business Mailing Address
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Address Line | 4321 FULCRUM WAY NE STE A
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City | RIO RANCHO
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State | NM
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Zip | 87144-8410
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Country | US
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Telephone | 505-771-0555
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Fax | 505-771-9071
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Authorized Official
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Title or Position | ASST. PRINCIPAL/ SPED DIRECTOR
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Name | FELICITAS ADAME-REYES
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Credential |
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Telephone | 505-771-0555
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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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