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General NPI Number Information
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NPI Number | 1003079187
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Entity Type | Organization
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Legal Business Name | WASC LLC
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Dates
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Enumeration Date | 07/08/2008
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Last Update Date | 05/19/2014
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Provider Practice Location Address
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Address Line | 3373 COMMERCE PARKWAY SUITE 1
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City | WOOSTER
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State | OH
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Zip | 44691
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Country | US
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Telephone | 330-804-2000
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Fax | 330-804-2001
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Provider Business Mailing Address
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Address Line | 3373 COMMERCE PARKWAY SUITE 1
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City | WOOSTER
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State | OH
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Zip | 44691
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Country | US
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Telephone | 330-804-2000
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Fax | 330-804-2001
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. VICTORIA L CAILLET
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Credential | R.N.
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Telephone | 330-804-2000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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