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General NPI Number Information
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NPI Number | 1649783093
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Entity Type | Organization
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Legal Business Name | SLAVIC ASSISTANCE CENTER
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Dates
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Enumeration Date | 11/08/2017
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Last Update Date | 11/08/2017
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Provider Practice Location Address
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Address Line | 2117 COTTAGE WAY
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City | SACRAMENTO
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State | CA
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Zip | 95825
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Country | US
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Telephone | 916-925-1071
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Fax | 916-925-1072
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Provider Business Mailing Address
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Address Line | 2117 COTTAGE WAY
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City | SACRAMENTO
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State | CA
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Zip | 95825
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Country | US
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Telephone | 916-925-1071
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Fax | 916-925-1072
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. ROMAN ROMASO
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Credential |
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Telephone | 916-925-1071
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171R00000X
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Taxonomy Name | Interpreter
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 405300000X
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Taxonomy Name | Prevention Professional
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License Number |
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License Number State |
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