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General NPI Number Information
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NPI Number | 1750671897
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Entity Type | Organization
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Legal Business Name | COMMUNITY SERVICES, INC.
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Dates
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Enumeration Date | 04/11/2011
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Last Update Date | 04/11/2011
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Provider Practice Location Address
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Address Line | 401 E 6TH AVE
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City | CORSICANA
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State | TX
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Zip | 75110-5332
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Country | US
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Telephone | 903-872-2401
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Fax | 903-872-0254
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Provider Business Mailing Address
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Address Line | PO BOX 612
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City | CORSICANA
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State | TX
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Zip | 75151-0612
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Country | US
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Telephone | 903-872-2401
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Fax | 903-872-0254
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. PAULETTA HINES
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Credential |
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Telephone | 903-872-2401
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332U00000X
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Taxonomy Name | Home Delivered Meals
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License Number |
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License Number State |
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