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General NPI Number Information
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NPI Number | 1013199942
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Entity Type | Organization
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Legal Business Name | SASS, INC.
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Dates
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Enumeration Date | 12/03/2007
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Last Update Date | 12/03/2007
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Provider Practice Location Address
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Address Line | 1115 227TH ST
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City | FORT SCOTT
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State | KS
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Zip | 66701-8703
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Country | US
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Telephone | 620-223-6132
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Fax |
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Provider Business Mailing Address
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Address Line | 1115 227TH ST
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City | FORT SCOTT
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State | KS
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Zip | 66701-8703
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. DEBRA RENE' MORTER
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Credential |
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Telephone | 620-223-6132
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | B-006-003
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License Number State | KS
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