Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
School |
1041S0200X |
| NPI # | 1467856401 |
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| LBN Legal business name | AZTEC MUNICIPAL SCHOOL DISTRICT | ||||
| Authorized official | TAMERA KLOHN - (MEDICAID COORDINATOR) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 10/20/2014 | ||||
| Last updated | 10/20/2014 - About 12 years ago | ||||
| Identifiers |
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