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General NPI Number Information
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NPI Number | 1194893115
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Entity Type | Organization
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Legal Business Name | COMMUNITY OPTION RESOURCE ENTERPRISES, INC.
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Dates
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Enumeration Date | 11/30/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 200 S 24TH ST
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City | BILLINGS
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State | MT
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Zip | 59101-4321
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Country | US
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Telephone | 406-248-9115
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Fax | 406-245-0606
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Provider Business Mailing Address
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Address Line | 200 S 24TH ST
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City | BILLINGS
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State | MT
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Zip | 59101-4321
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Country | US
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Telephone | 406-248-9115
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Fax | 406-245-0606
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Authorized Official
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Title or Position | CEO
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Name | MR. TONY F. CLINE
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Credential |
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Telephone | 406-248-9115
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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 | MT
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