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General NPI Number Information
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NPI Number | 1326192345
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Entity Type | Organization
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Legal Business Name | OPTIONS FOR INDIVIDUALS, INC
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Dates
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Enumeration Date | 01/23/2007
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Last Update Date | 05/06/2015
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Provider Practice Location Address
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Address Line | 2200 ENVOY CIR SUITE 2201
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City | LOUISVILLE
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State | KY
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Zip | 40299-1827
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Country | US
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Telephone | 502-493-0007
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Fax | 502-493-0021
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Provider Business Mailing Address
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Address Line | 2200 ENVOY CIR SUITE 2201
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City | LOUISVILLE
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State | KY
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Zip | 40299-1827
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Country | US
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Telephone | 502-493-0007
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Fax | 502-493-0021
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. SONIA MARIE JOHNSON
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Credential | CGW,MBA-HCM
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Telephone | 502-493-0007
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number |
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License Number State | KY
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Taxonomy #2
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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 | 33900143
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License Number State | KY
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