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General NPI Number Information
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NPI Number | 1205967205
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Entity Type | Organization
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Legal Business Name | COMMUNITY OPTIONS, INC.
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Dates
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Enumeration Date | 03/08/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1100 S. WALNUT
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City | CHELSEA
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State | OK
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Zip | 74016
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Country | US
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Telephone | 918-789-5900
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Fax | 918-789-5916
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Provider Business Mailing Address
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Address Line | PO BOX 85
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City | CHELSEA
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State | OK
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Zip | 74016-0085
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Country | US
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Telephone | 918-789-5900
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Fax | 918-789-5916
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Authorized Official
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Title or Position | CFO
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Name | GRACE A PETERSON
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Credential |
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Telephone | 918-789-5900
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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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