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General NPI Number Information
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NPI Number | 1912886797
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Entity Type | Organization
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Legal Business Name | PENN VALLEY UNION ELEMENTARY SCHOOL DISTRICT
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Dates
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Enumeration Date | 08/27/2025
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Last Update Date | 08/27/2025
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Provider Practice Location Address
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Address Line | 14804 PLEASANT VALLEY RD
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City | PENN VALLEY
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State | CA
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Zip | 95946-9722
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Country | US
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Telephone | 530-432-7311
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Fax | 530-432-7314
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Provider Business Mailing Address
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Address Line | PO BOX 475
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City | PENN VALLEY
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State | CA
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Zip | 95946-0475
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Country | US
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Telephone | 530-432-7311
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Fax | 530-432-7314
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Authorized Official
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Title or Position | EXECUTIVE ADMINISTRATIVE ASST.
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Name | CATHRYN L RUSCICA
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Credential |
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Telephone | 530-432-7311
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YS0200X
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Taxonomy Name | School Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363LS0200X
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Taxonomy Name | School Nurse Practitioner
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License Number |
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License Number State |
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