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General NPI Number Information
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NPI Number | 1922159706
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Entity Type | Organization
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Legal Business Name | MESQUITE INDEPENDENT SCHOOL DISTRICT
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Dates
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Enumeration Date | 01/16/2007
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Last Update Date | 01/13/2015
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Provider Practice Location Address
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Address Line | 300 W KEARNEY ST
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City | MESQUITE
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State | TX
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Zip | 75149-3438
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Country | US
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Telephone | 972-882-7120
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Fax | 972-882-7121
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Provider Business Mailing Address
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Address Line | 300 W KEARNEY ST
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City | MESQUITE
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State | TX
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Zip | 75149-3438
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Country | US
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Telephone | 972-882-7120
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Fax | 972-882-7121
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Authorized Official
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Title or Position | CLINIC DIRECTOR
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Name | CHRISTI RACHAL
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Credential | RN
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Telephone | 972-882-7122
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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