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General NPI Number Information
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NPI Number | 1942947387
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Entity Type | Organization
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Legal Business Name | PHELPS COUNTY SCHOOL DISTRICT 69-0044
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Dates
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Enumeration Date | 05/17/2022
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Last Update Date | 05/27/2022
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Provider Practice Location Address
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Address Line | 505 14TH AVE
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City | HOLDREGE
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State | NE
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Zip | 68949
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Country | US
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Telephone | 308-995-8663
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Fax | 308-995-6956
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Provider Business Mailing Address
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Address Line | PO BOX 2002
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City | HOLDREGE
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State | NE
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Zip | 68949
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Country | US
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Telephone | 308-995-8663
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Fax | 308-995-6956
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Authorized Official
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Title or Position | SUPERINTENDENT
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Name | TODD HILYARD
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Credential |
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Telephone | 308-995-8663
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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Taxonomy Code | 163WS0200X
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Taxonomy Name | School Registered Nurse
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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