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General NPI Number Information
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NPI Number | 1568775138
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Entity Type | Organization
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Legal Business Name | DEVELOPMENTAL PLANNING & SERVICES INC
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Dates
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Enumeration Date | 07/23/2010
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Last Update Date | 08/17/2018
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Provider Practice Location Address
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Address Line | 419 E. MAIN STREET
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City | SHELBYVILLE
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State | IL
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Zip | 62565-1600
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Country | US
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Telephone | 217-774-9544
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Fax | 217-774-9545
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Provider Business Mailing Address
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Address Line | PO BOX 2369
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City | MOUNT VERNON
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State | IL
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Zip | 62864-0046
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Country | US
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Telephone | 618-244-7701
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DENNIS K HEADLEE
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Credential |
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Telephone | 618-244-7701
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 315P00000X
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Taxonomy Name | Intellectual Disabilities Intermediate Care Facility
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License Number | 0051060
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License Number State | IL
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