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General NPI Number Information
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NPI Number | 1972745164
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Entity Type | Organization
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Legal Business Name | POSITIVE LINK
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Dates
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Enumeration Date | 04/02/2009
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Last Update Date | 06/15/2009
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Provider Practice Location Address
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Address Line | 333 E MILLER DR
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City | BLOOMINGTON
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State | IN
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Zip | 47401-6557
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Country | US
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Telephone | 812-353-3225
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Fax | 812-353-3226
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Provider Business Mailing Address
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Address Line | 333 E MILLER DR
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City | BLOOMINGTON
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State | IN
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Zip | 47401-6557
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Country | US
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Telephone | 812-353-3225
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Fax | 812-353-3226
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Authorized Official
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Title or Position | CARE COORDINATOR
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Name | JESSICA ELAINE ADAMS
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Credential |
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Telephone | 812-353-3225
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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