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General NPI Number Information
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NPI Number | 1609928340
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Entity Type | Organization
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Legal Business Name | ABILITIES UNLIMITED OF JONESBORO, INC.
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Dates
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Enumeration Date | 01/16/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2725 N CHURCH ST
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City | JONESBORO
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State | AR
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Zip | 72401-8306
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Country | US
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Telephone | 870-932-1551
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Fax | 870-930-9589
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Provider Business Mailing Address
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Address Line | PO BOX 1207
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City | JONESBORO
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State | AR
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Zip | 72403-1207
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Country | US
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Telephone | 870-932-1551
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Fax | 870-930-9589
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Authorized Official
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Title or Position | DIRECTOR OF CONSUMER SERVICES
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Name | MRS. CHERYL MEUSY
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Credential | CRC
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Telephone | 870-932-1551
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State | AR
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