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General NPI Number Information
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NPI Number | 1609823384
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Entity Type | Organization
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Legal Business Name | NASS, INC
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Dates
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Enumeration Date | 05/28/2006
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Last Update Date | 08/16/2020
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Provider Practice Location Address
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Address Line | 6325 LEWIS DR STE 114
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City | PARKVILLE
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State | MO
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Zip | 64152-3699
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Country | US
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Telephone | 816-505-0100
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Fax | 816-505-2301
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Provider Business Mailing Address
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Address Line | 6325 LEWIS DR STE 114
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City | PARKVILLE
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State | MO
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Zip | 64152-3699
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Country | US
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Telephone | 816-505-0100
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Fax | 816-505-2301
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ANTHONY JOSEPH VERACHTERT
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Credential | O.D.
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Telephone | 816-505-0100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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