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NPI 1821140682

NPI 1821140682 : DONIPHAN COUNTY SERVICES AND WORKSKILLS INC : WATHENA, KS

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General NPI Number Information
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    NPI Number           |    1821140682
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    Entity Type          |    Organization 
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    Legal Business Name  |    DONIPHAN COUNTY SERVICES AND WORKSKILLS INC 
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Dates
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    Enumeration Date     |    01/18/2007
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    Last Update Date     |    02/22/2021
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Provider Practice Location Address
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    Address Line         |    702 E SAINT JOSEPH ST 
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    City                 |    WATHENA
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    State                |    KS
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    Zip                  |    66090-1294
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    Country              |    US
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    Telephone            |    857-990-0855
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    Fax                  |    859-901-1086
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Provider Business Mailing Address
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    Address Line         |    PO BOX 69 
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    City                 |    WATHENA
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    State                |    KS
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    Zip                  |    66090-0069
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    Country              |    US
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    Telephone            |    785-990-0855
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    Fax                  |    785-990-1086
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Authorized Official
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    Title or Position    |    OFFICE MANAGER
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    Name                 |     LINDA  WHITTAKER 
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    Credential           |    
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    Telephone            |    785-990-0855
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    3747P1801X
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    Taxonomy Name        |    Personal Care Attendant
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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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       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    320600000X
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    Taxonomy Name        |    Intellectual and/or Developmental Disabilities Residential Treatment Facility
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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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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Taxonomy #5
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    Taxonomy Code        |    3747A0650X
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    Taxonomy Name        |    Attendant Care Provider
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    License Number       |    
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    License Number State |    
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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       |    
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    License Number State |    
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