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General NPI Number Information
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NPI Number | 1104966357
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Entity Type | Organization
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Legal Business Name | OPPORTUNITY CENTER OF OWENSBORO, INC
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Dates
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Enumeration Date | 02/07/2007
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 1101 E BYERS AVE
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City | OWENSBORO
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State | KY
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Zip | 42303
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Country | US
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Telephone | 270-645-5004
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Fax | 270-685-2036
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Provider Business Mailing Address
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Address Line | PO BOX 1833
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City | OWENSBORO
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State | KY
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Zip | 42302-1833
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Country | US
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Telephone | 270-645-5004
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Fax | 270-685-2036
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | ROSEMARY D CONDER
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Credential |
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Telephone | 270-645-5004
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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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Taxonomy #2
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State | KY
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Taxonomy #3
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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 | KY
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