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General NPI Number Information
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NPI Number | 1992902704
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Entity Type | Organization
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Legal Business Name | GOLDEN CITY R-III SCHOOLS
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Dates
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Enumeration Date | 06/27/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1208 WALNUT ST
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City | GOLDEN CITY
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State | MO
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Zip | 64748-9104
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Country | US
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Telephone | 417-537-4900
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Fax | 417-537-8717
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Provider Business Mailing Address
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Address Line | 406 E. 15TH
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City | LOCKWOOD
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State | MO
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Zip | 65682
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Country | US
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Telephone | 417-232-4914
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Fax | 417-232-4568
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Authorized Official
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Title or Position | SUPERINTENDENT
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Name | MRS. SUSAN WHITTLE
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Credential |
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Telephone | 417-537-4900
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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 | 01860
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License Number State | MO
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