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General NPI Number Information
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NPI Number | 1013053826
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Entity Type | Organization
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Legal Business Name | TEN COUNTY AGING BOARD INC
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Dates
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Enumeration Date | 01/29/2007
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Last Update Date | 06/16/2008
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Provider Practice Location Address
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Address Line | 304 S SUMMIT ST
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City | ARKANSAS CITY
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State | KS
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Zip | 67005-2849
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Country | US
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Telephone | 620-442-0268
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Fax |
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Provider Business Mailing Address
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Address Line | 304 S SUMMIT ST
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City | ARKANSAS CITY
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State | KS
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Zip | 67005-2849
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | COMPUTER SPECIALIST
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Name | MR. ROBERT S MARTIN
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Credential |
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Telephone | 620-442-0268
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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