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General NPI Number Information
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NPI Number | 1740840925
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Entity Type | Organization
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Legal Business Name | INFINITE ABILITIES & SUPPORTS, INC.
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Dates
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Enumeration Date | 06/19/2019
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Last Update Date | 06/19/2019
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Provider Practice Location Address
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Address Line | 2012 N HIGHWAY 1247
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City | SOMERSET
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State | KY
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Zip | 42503-4601
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Country | US
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Telephone | 606-271-6446
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Fax |
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Provider Business Mailing Address
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Address Line | 4740 N HIGHWAY 27
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City | SCIENCE HILL
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State | KY
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Zip | 42553-9342
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Country | US
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Telephone | 606-271-6446
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | KAREN WILSON
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Credential |
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Telephone | 606-271-6446
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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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