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General NPI Number Information
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NPI Number | 1770797623
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Entity Type | Organization
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Legal Business Name | COMMUNITY OPTIONS, INC.
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Dates
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Enumeration Date | 05/10/2007
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Last Update Date | 03/19/2013
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Provider Practice Location Address
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Address Line | 1300 ANDREA ST SUITE 201
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City | BOWLING GREEN
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State | KY
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Zip | 42104-3382
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Country | US
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Telephone | 270-780-9330
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Fax | 270-780-9332
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Provider Business Mailing Address
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Address Line | 16 FARBER RD
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City | PRINCETON
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State | NJ
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Zip | 08540-5913
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Country | US
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Telephone | 609-951-9900
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Fax | 609-799-8960
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Authorized Official
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Title or Position | PRESIDENT & C.E.O.
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Name | MR. ROBERT P. STACK
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Credential | B.S., M.A.
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Telephone | 609-951-9900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | 33001520
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License Number State | KY
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Taxonomy #2
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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 | 33001520
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 385HR2060X
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Taxonomy Name | Child Intellectual and/or Developmental Disabilities Respite Care
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License Number | 33001520
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License Number State | KY
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Taxonomy #4
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number | 33001520
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License Number State | KY
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Taxonomy #5
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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 | 33001520
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License Number State | KY
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Taxonomy #6
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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 | 7100095010
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License Number State | KY
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Taxonomy #7
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number | 7100095010
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License Number State | KY
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Taxonomy #8
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Taxonomy Code | 385HR2060X
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Taxonomy Name | Child Intellectual and/or Developmental Disabilities Respite Care
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License Number | 7100095010
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License Number State | KY
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Taxonomy #9
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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 | 7100095010
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License Number State | KY
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