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General NPI Number Information
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NPI Number | 1508045873
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Entity Type | Organization
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Legal Business Name | NEW OUTLOOKS ADULT DAY SERVICES INC
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Dates
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Enumeration Date | 11/02/2007
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Last Update Date | 11/02/2007
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Provider Practice Location Address
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Address Line | 4197 HWY 80
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City | MORTON
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State | MS
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Zip | 39117
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Country | US
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Telephone | 601-732-8002
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Fax | 601-732-8042
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Provider Business Mailing Address
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Address Line | 4197 HWY 80
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City | MORTON
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State | MS
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Zip | 39117
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Country | US
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Telephone | 601-732-8002
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Fax | 601-732-8042
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | BARBARA ROBINSON
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Credential | RN
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Telephone | 601-732-8002
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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License Number |
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License Number State |
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