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General NPI Number Information
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NPI Number | 1831265115
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Entity Type | Organization
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Legal Business Name | CLINICAL & SUPPORT OPTIONS, INC
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Dates
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Enumeration Date | 11/28/2006
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Last Update Date | 03/12/2013
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Provider Practice Location Address
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Address Line | 1 ARCH PL
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City | GREENFIELD
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State | MA
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Zip | 01301-2457
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Country | US
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Telephone | 413-774-1000
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Fax | 413-774-1776
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Provider Business Mailing Address
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Address Line | 1 ARCH PL
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City | GREENFIELD
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State | MA
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Zip | 01301-2457
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Country | US
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Telephone | 413-774-1000
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Fax | 413-774-1776
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Authorized Official
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Title or Position | PRESIDENT & CEO
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Name | KARIN JEFFERS
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Credential |
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Telephone | 413-773-1314
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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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 | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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