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General NPI Number Information
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NPI Number | 1568275162
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Entity Type | Organization
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Legal Business Name | COMMUNITY OPTIONS, INC.
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Dates
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Enumeration Date | 01/28/2025
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Last Update Date | 01/28/2025
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Provider Practice Location Address
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Address Line | 2239 W BASELINE RD
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City | TEMPE
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State | AZ
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Zip | 85283-1039
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Country | US
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Telephone | 480-601-0982
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Fax |
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Provider Business Mailing Address
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Address Line | 16 FARBER RD
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City | PRINCETON
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State | NJ
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Zip | 08540-5913
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Country | US
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Telephone | 609-951-9900
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Fax |
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Authorized Official
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Title or Position | CONTROLLER
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Name | BELGICA VICTORIA CEDENO
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Credential |
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Telephone | 609-951-9900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number |
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License Number State |
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