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NPI Code Detail

MEDICARE: FOWLER ELEMENTARY SCHOOL DISTRICT

MEDICARE: FOWLER ELEMENTARY SCHOOL DISTRICT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251300000XLocal Education Agency (LEA)

General Provider Information

NPI Number : 1043438781
Entity Type Code : Organization
Provider Name (Legal Business Name) : FOWLER ELEMENTARY SCHOOL DISTRICT
Provider Business Mailing Address
First Line : 1617 S 67TH AVE
Second Line :
City : PHOENIX
State : AZ
Zip : 85043-7717
Country : US
Telephone Number : 623-707-2251
Fax Number : 623-707-2254
Provider Business Practice Location Address
First Line : 1617 S 67TH AVE
Second Line :
City : PHOENIX
State : AZ
Zip : 85043-7717
Country : US
Telephone Number : 623-707-2251
Fax Number : 623-707-2254
Authorized Official
Title or Position : SPECIAL EDUCATION ADMIN ASST
Name : PATRICIA PARTIDA
Credential :
Telephone Number : 623-707-2251
Provider Enumeration Date : 04/20/2007
Last Update Date : 08/22/2020

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Directions to “FOWLER ELEMENTARY SCHOOL DISTRICT ” Practice Location

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