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General NPI Number Information
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NPI Number | 1982029112
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Entity Type | Organization
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Legal Business Name | BREWSTER SCHOOL DISTRICT
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Dates
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Enumeration Date | 02/25/2014
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Last Update Date | 02/25/2014
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Provider Practice Location Address
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Address Line | 52 S. 7TH STREET
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City | BREWSTER
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State | WA
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Zip | 98812-0097
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Country | US
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Telephone | 509-689-2581
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 97
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City | BREWSTER
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State | WA
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Zip | 98812-0097
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Country | US
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Telephone | 509-689-2581
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Fax |
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Authorized Official
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Title or Position | REGISTER NURSE
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Name | MARIA E MARTINEZ
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Credential | RN
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Telephone | 598-689-2581
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number | RN00151741
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License Number State | WA
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