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General NPI Number Information
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NPI Number | 1285829747
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Entity Type | Organization
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Legal Business Name | DAVID KASS MD INC
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Dates
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Enumeration Date | 09/07/2007
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Last Update Date | 04/27/2010
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Provider Practice Location Address
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Address Line | 298 ARMISTICE BLVD
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City | PAWTUCKET
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State | RI
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Zip | 02861-2331
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Country | US
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Telephone | 401-723-5533
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Fax |
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Provider Business Mailing Address
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Address Line | 298 ARMISTICE BLVD
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City | PAWTUCKET
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State | RI
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Zip | 02861-2331
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Country | US
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Telephone | 401-723-5533
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DAVID J KASS
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Credential | MD
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Telephone | 401-723-5533
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD4834
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License Number State | RI
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