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General NPI Number Information
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NPI Number | 1821263716
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Entity Type | Organization
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Legal Business Name | O.C.C.S., INC.
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Dates
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Enumeration Date | 04/23/2008
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Last Update Date | 04/23/2008
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Provider Practice Location Address
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Address Line | 687 W ELM ST
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City | LEBANON
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State | MO
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Zip | 65536-3568
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Country | US
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Telephone | 417-533-3221
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Fax | 417-533-7766
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Provider Business Mailing Address
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Address Line | 687 W ELM ST
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City | LEBANON
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State | MO
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Zip | 65536-3568
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Country | US
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Telephone | 417-533-3221
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Fax | 417-533-7766
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Authorized Official
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Title or Position | PRESIDENT
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Name | CHARLES T. MAGUIRE
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Credential | CSAC II
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Telephone | 417-533-3221
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 180
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License Number State | MO
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