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General NPI Number Information
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NPI Number | 1932242575
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Entity Type | Organization
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Legal Business Name | GLENN COUNTY JOINT
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Dates
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Enumeration Date | 02/14/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 311 S VILLA AVE
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City | WILLOWS
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State | CA
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Zip | 95988-2959
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Country | US
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Telephone | 530-934-6575
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Fax | 530-934-6575
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Provider Business Mailing Address
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Address Line | 311 S VILLA AVE
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City | WILLOWS
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State | CA
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Zip | 95988-2959
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Country | US
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Telephone | 530-934-6575
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Fax | 530-934-6576
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Authorized Official
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Title or Position | ASST. SUPERINTENDENT,SELPA DIRECTOR
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Name | DR. ROY APPLEGATE
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Credential | PHD
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Telephone | 530-934-6575
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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 | SS1110116
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License Number State | CA
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