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General NPI Number Information
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NPI Number | 1972662112
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Entity Type | Organization
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Legal Business Name | OLDER AMERICANS SERVICES CORP
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Dates
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Enumeration Date | 12/06/2006
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Last Update Date | 03/14/2018
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Provider Practice Location Address
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Address Line | 1901 S ORLEANS WAY
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City | ORLEANS
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State | IN
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Zip | 47452
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Country | US
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Telephone | 812-865-3352
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Fax | 812-865-3384
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Provider Business Mailing Address
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Address Line | PO BOX 206
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City | ORLEANS
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State | IN
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Zip | 47452
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Country | US
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Telephone | 812-865-3352
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Fax | 812-865-3384
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. GREG W MAHURON
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Credential |
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Telephone | 812-865-3352
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332U00000X
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Taxonomy Name | Home Delivered Meals
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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 | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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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 | 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 #4
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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License Number |
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License Number State |
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