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NPI 1033096391

NPI 1033096391 : OUR COZY CORNER LLC : ARKANSAS CITY, KS

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General NPI Number Information
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    NPI Number           |    1033096391
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    Entity Type          |    Organization 
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    Legal Business Name  |    OUR COZY CORNER LLC 
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Dates
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    Enumeration Date     |    08/19/2025
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    Last Update Date     |    08/20/2025
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Provider Practice Location Address
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    Address Line         |    1118 N 9TH ST 
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    City                 |    ARKANSAS CITY
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    State                |    KS
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    Zip                  |    67005-2046
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    Country              |    US
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    Telephone            |    620-218-1278
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1118 N 9TH ST 
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    City                 |    ARKANSAS CITY
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    State                |    KS
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    Zip                  |    67005-2046
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    Country              |    US
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    Telephone            |    620-218-1278
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     CHRISTINA  PACK 
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    Credential           |    
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    Telephone            |    620-660-5052
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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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Taxonomy #2
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    Taxonomy Code        |    171M00000X
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    Taxonomy Name        |    Case Manager/Care Coordinator
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    License Number       |    
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    License Number State |    
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