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General NPI Number Information
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NPI Number | 1851434401
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Entity Type | Organization
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Legal Business Name | HOME AND COMMUNITY OPTIONS, INC.
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Dates
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Enumeration Date | 02/14/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 66 E 3RD ST
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City | WINONA
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State | MN
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Zip | 55987-3478
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Country | US
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Telephone | 507-452-1021
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Fax | 507-452-1504
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Provider Business Mailing Address
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Address Line | 66 E 3RD ST
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City | WINONA
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State | MN
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Zip | 55987-3478
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Country | US
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Telephone | 507-452-1021
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Fax | 507-452-1504
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. DENNIS JAMES THEEDE
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Credential |
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Telephone | 507-452-1021
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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 | APPLIED FOR
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License Number State | MN
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