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General NPI Number Information
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NPI Number | 1366558108
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Entity Type | Organization
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Legal Business Name | JONES COUNTY AGING SERVICES
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Dates
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Enumeration Date | 08/22/2006
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Last Update Date | 06/25/2008
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Provider Practice Location Address
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Address Line | 1108 WEST COURT PLAZA
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City | ANSON
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State | TX
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Zip | 79501
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Country | US
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Telephone | 325-823-2882
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Fax | 325-823-3872
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Provider Business Mailing Address
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Address Line | PO BOX 609
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City | ANSON
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State | TX
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Zip | 79501-0609
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Country | US
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Telephone | 325-823-2882
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Fax | 325-823-3872
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Authorized Official
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Title or Position | AGING SERVICES COORDINATOR
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Name | MRS. LISA KAYE HARGRAVE
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Credential |
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Telephone | 325-823-2882
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332U00000X
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Taxonomy Name | Home Delivered Meals
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License Number |
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License Number State |
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