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General NPI Number Information
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NPI Number | 1942307152
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Entity Type | Organization
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Legal Business Name | WESTERN PLACER USD
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 810 J ST
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City | LINCOLN
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State | CA
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Zip | 95648-1757
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Country | US
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Telephone | 910-645-5135
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Fax | 916-645-5136
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Provider Business Mailing Address
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Address Line | 810 J ST
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City | LINCOLN
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State | CA
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Zip | 95648-1757
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Country | US
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Telephone | 910-645-5135
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Fax | 916-645-5136
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Authorized Official
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Title or Position | ASST. SUPERINTENDENT
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Name | MRS. CARRIE L CARLSON
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Credential |
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Telephone | 916-645-6350
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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 | CA
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