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General NPI Number Information
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NPI Number | 1639396146
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Entity Type | Organization
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Legal Business Name | DEVELOPMENTAL RESOURCES MANAGEMENT, INC.
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Dates
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Enumeration Date | 04/19/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 221 W 2ND ST SUITE 522
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City | LITTLE ROCK
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State | AR
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Zip | 72201-2501
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Country | US
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Telephone | 501-372-6117
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Fax | 501-372-6117
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Provider Business Mailing Address
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Address Line | 221 W 2ND ST SUITE 522
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City | LITTLE ROCK
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State | AR
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Zip | 72201-2501
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Country | US
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Telephone | 501-372-6117
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Fax | 501-372-6117
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. PRINCE CHINNEY
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Credential | M.A.
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Telephone | 501-372-6117
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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 | IN32A
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License Number State | AR
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