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General NPI Number Information
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NPI Number | 1922120724
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Entity Type | Organization
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Legal Business Name | BLISS SCHOOL DISTRICT
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Dates
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Enumeration Date | 04/04/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 601 EAST MAIN STREET
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City | BLISS
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State | ID
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Zip | 83314-0115
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Country | US
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Telephone | 208-352-4447
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Fax | 208-352-4649
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Provider Business Mailing Address
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Address Line | PO BOX 115 601 EAST MAIN STREET
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City | BLISS
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State | ID
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Zip | 83314-0115
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Country | US
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Telephone | 208-352-4447
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Fax | 208-352-4649
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Authorized Official
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Title or Position | SPECIAL SERVICES DIRECTOR
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Name | KIM A. FLICK
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Credential |
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Telephone | 208-352-4447
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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 | 8051259
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License Number State | ID
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