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General NPI Number Information
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NPI Number | 1003185380
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Entity Type | Organization
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Legal Business Name | ORANGE CO REHAB & DEVELOPMENTAL SVCS
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Dates
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Enumeration Date | 12/15/2011
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Last Update Date | 12/15/2011
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Provider Practice Location Address
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Address Line | 986 W HOSPITAL RD
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City | PAOLI
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State | IN
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Zip | 47454-9668
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Country | US
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Telephone | 812-723-4486
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Fax |
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Provider Business Mailing Address
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Address Line | 986 W HOSPITAL RD
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City | PAOLI
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State | IN
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Zip | 47454-9668
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Country | US
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Telephone | 812-723-4486
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. LOUISE O'CONNELL
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Credential |
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Telephone | 812-723-4486
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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