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General NPI Number Information
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NPI Number | 1215539424
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Entity Type | Organization
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Legal Business Name | ABILITY VOCATIONAL CONSULTING LLC
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Dates
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Enumeration Date | 11/12/2020
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Last Update Date | 11/12/2020
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Provider Practice Location Address
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Address Line | 4305 LACEY BLVD SE # 27
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City | LACEY
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State | WA
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Zip | 98503-2352
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Country | US
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Telephone | 360-339-6668
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Fax |
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Provider Business Mailing Address
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Address Line | 4305 LACEY BLVD SE # 27
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City | LACEY
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State | WA
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Zip | 98503-2352
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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 | PARTNER / OPERATIONS MANAGER
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Name | TONYA L SMITH
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Credential | CEAS
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Telephone | 360-972-6352
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225C00000X
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Taxonomy Name | Rehabilitation Counselor
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License Number |
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License Number State |
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