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General NPI Number Information
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NPI Number | 1538846696
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Entity Type | Organization
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Legal Business Name | OREGON COUNTY SHELTERED WORKSHOP
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Dates
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Enumeration Date | 06/30/2023
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Last Update Date | 06/30/2023
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Provider Practice Location Address
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Address Line | 20674 US HWY 160
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City | ALTON
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State | MO
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Zip | 65606
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Country | US
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Telephone | 417-778-6332
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Fax | 417-778-6332
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Provider Business Mailing Address
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Address Line | PO BOX 459
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City | ALTON
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State | MO
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Zip | 65606-0459
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Country | US
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Telephone | 417-778-6332
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Fax | 417-778-6332
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Authorized Official
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Title or Position | CO-MANAGER
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Name | STEPHEN P COLLEY
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Credential |
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Telephone | 417-778-6332
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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