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General NPI Number Information
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NPI Number | 1982756748
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Entity Type | Organization
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Legal Business Name | SUCCESS R-VI SCHOOL
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Dates
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Enumeration Date | 01/18/2007
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Last Update Date | 09/06/2023
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Provider Practice Location Address
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Address Line | 10341 HIGHWAY 17
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City | SUCCESS
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State | MO
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Zip | 65570-9605
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Country | US
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Telephone | 417-967-2597
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Fax | 417-967-5774
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Provider Business Mailing Address
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Address Line | 10341 HIGHWAY 17
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City | SUCCESS
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State | MO
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Zip | 65570-9605
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Country | US
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Telephone | 417-967-2597
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Fax | 417-967-5774
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Authorized Official
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Title or Position | SCHOOL NURSE
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Name | MRS. KRISTI LYNN WILLIAMS
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Credential |
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Telephone | 417-273-4274
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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 |
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