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General NPI Number Information
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NPI Number | 1710934948
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Entity Type | Organization
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Legal Business Name | COORDINATED AGING SERVICES
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Dates
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Enumeration Date | 05/31/2006
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Last Update Date | 08/08/2008
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Provider Practice Location Address
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Address Line | 1390 E COLUMBUS ST
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City | MARTINSVILLE
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State | IN
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Zip | 46151-1711
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Country | US
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Telephone | 765-342-3007
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Fax | 765-342-3712
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Provider Business Mailing Address
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Address Line | 1390 E COLUMBUS ST
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City | MARTINSVILLE
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State | IN
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Zip | 46151-1711
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Country | US
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Telephone | 765-342-3007
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Fax | 765-342-3712
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MRS. JOANN WILLIAMS
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Credential |
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Telephone | 765-342-3007
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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 | 351641972
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License Number State | IN
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