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NPI 1992998744

NPI 1992998744 : BRISTOW PUBLIC SCHOOLS : BRISTOW, OK

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General NPI Number Information
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    NPI Number           |    1992998744
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    Entity Type          |    Organization 
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    Legal Business Name  |    BRISTOW PUBLIC SCHOOLS 
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Dates
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    Enumeration Date     |    08/24/2007
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    Last Update Date     |    08/24/2007
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Provider Practice Location Address
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    Address Line         |    420 N MAIN ST 
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    City                 |    BRISTOW
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    State                |    OK
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    Zip                  |    74010-2015
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    Country              |    US
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    Telephone            |    918-367-5555
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    420 N MAIN ST 
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    City                 |    BRISTOW
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    State                |    OK
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    Zip                  |    74010-2015
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    Country              |    US
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    Telephone            |    918-367-5555
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    Fax                  |    
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Authorized Official
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    Title or Position    |    SUPERINTENDENT
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    Name                 |    MRS. JEANENE  BARNETT 
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    Credential           |    
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    Telephone            |    918-367-5555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251K00000X
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    Taxonomy Name        |    Public Health or Welfare Agency
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    License Number       |    
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    License Number State |    OK
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