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PROVIDER TYPE CODE PROVIDER SPECIALTY CODE …

PROVIDER TYPE CODEPROVIDER SPECIALTY CODETAXONOMY CODE335-Case Manager/Care Coordinator 171M00000X468-County Social Service Office171M00000X339-Lodgingno taxonomy code required393-Provide Mealsno taxonomy code required035-Case Management251B00000X357-Community/Behavi oral Health251S00000X060-Early Intervention; PROVIDER Agency252Y00000X082-Home Health Agency251E00000X454- Hospice Care, Community Based251G00000X453-Human Service Center251S00000X397-Local Education Agency (LEA)/Special Education251300000X358-PACE251T00000X261 -Public Health or Welfare251K00000X026-Adolescent and Children Mental Health261QM0855X070-Adult Mental Health261QM0850X089-Ambulatory Surgical Center 261QA1903X071-Augmentative Communication261QA3000X359-Clinic/Center 261Q00000X040-Community Health Centers261QC1500X437-Dental Clinic261QD0000x2

PROVIDER TYPE CODE PROVIDER SPECIALTY CODE TAXONOMY CODE 335-Case Manager/Care Coordinator 171M00000X 468-County Social Service Office 171M00000X

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