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General NPI Number Information
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NPI Number | 1467371286
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Entity Type | Organization
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Legal Business Name | VAST REENTRY SERVICES, LTD
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Dates
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Enumeration Date | 07/14/2026
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Last Update Date | 07/16/2026
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Provider Practice Location Address
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Address Line | 1777 S HARRISON ST
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City | DENVER
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State | CO
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Zip | 80210-3925
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Country | US
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Telephone | 720-750-0613
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Fax |
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Provider Business Mailing Address
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Address Line | 1777 S HARRISON ST
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City | DENVER
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State | CO
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Zip | 80210-3925
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Country | US
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Telephone | 720-750-0613
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. MALIK ASAD AL-MALAKI II
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Credential | CPS
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Telephone | 720-750-0613
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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