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General NPI Number Information
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NPI Number | 1124244835
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Entity Type | Organization
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Legal Business Name | PERRY COUNTY COUNCIL ON AGING
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Dates
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Enumeration Date | 04/18/2007
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Last Update Date | 07/22/2008
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Provider Practice Location Address
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Address Line | 200 N 5TH ST
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City | CANNELTON
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State | IN
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Zip | 47520-1104
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Country | US
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Telephone | 812-547-8115
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Fax | 812-548-0722
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Provider Business Mailing Address
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Address Line | P.O. BOX 163
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City | CANNELTON
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State | IN
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Zip | 47520-1104
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Country | US
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Telephone | 812-547-8115
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Fax | 812-548-0722
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Authorized Official
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Title or Position | EX. DIRECTOR
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Name | MRS. PEGGY E. SCHOENE
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Credential |
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Telephone | 812-547-8115
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number |
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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