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General NPI Number Information
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NPI Number | 1427510049
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Entity Type | Organization
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Legal Business Name | COMMISSION ON AGING-INC
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Dates
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Enumeration Date | 04/02/2019
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Last Update Date | 04/02/2019
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Provider Practice Location Address
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Address Line | 501 HERITAGE DR STE 117
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City | OXFORD
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State | MS
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Zip | 38655-5459
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Country | US
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Telephone | 662-533-0851
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Fax |
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Provider Business Mailing Address
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Address Line | 501 HERITAGE DR STE 118
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City | OXFORD
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State | MS
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Zip | 38655-5459
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Country | US
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Telephone | 662-533-0851
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Fax | 844-272-3002
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Authorized Official
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Title or Position | CEO
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Name | CARL ROBINSON
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Credential |
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Telephone | 949-441-9900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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