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General NPI Number Information
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NPI Number | 1033265103
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Entity Type | Organization
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Legal Business Name | DOUGLAS COUNTY SENIOR SERVICES, INC.
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Dates
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Enumeration Date | 01/25/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 745 VERMONT ST
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City | LAWRENCE
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State | KS
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Zip | 66044-2371
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Country | US
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Telephone | 785-842-0543
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Fax | 785-842-0562
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Provider Business Mailing Address
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Address Line | 745 VERMONT ST
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City | LAWRENCE
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State | KS
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Zip | 66044-2371
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Country | US
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Telephone | 785-842-0543
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Fax | 785-842-0562
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Authorized Official
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Title or Position | INTERIM DIRECTOR, BUSINESS ADMIN.
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Name | MRS. LOIS MEAD
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Credential |
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Telephone | 785-842-0543
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number | B-023-004
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License Number State | KS
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