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General NPI Number Information
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NPI Number | 1740782457
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Entity Type | Organization
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Legal Business Name | VALUES INTO ACTION SUPPORT COORDINATION, INC.
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Dates
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Enumeration Date | 03/08/2018
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Last Update Date | 03/08/2018
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Provider Practice Location Address
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Address Line | 351 HIGH ST STE 203
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City | BURLINGTON
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State | NJ
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Zip | 08016-4433
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Country | US
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Telephone | 856-985-6801
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Fax | 856-985-6802
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Provider Business Mailing Address
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Address Line | 14 S JACKSON ST STE 102
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City | MEDIA
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State | PA
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Zip | 19063-3322
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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 | PRESIDENT
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Name | PAUL SAULINO
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Credential |
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Telephone | 856-397-2796
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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