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General NPI Number Information
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NPI Number | 1750437737
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Entity Type | Organization
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Legal Business Name | CASCO AREA WORKSHOP, INC.
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Dates
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Enumeration Date | 01/25/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1800 W VINE ST
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City | HARRISONVILLE
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State | MO
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Zip | 64701-4022
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Country | US
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Telephone | 816-380-7359
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Fax | 816-380-7363
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Provider Business Mailing Address
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Address Line | 1800 W VINE ST
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City | HARRISONVILLE
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State | MO
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Zip | 64701-4022
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Country | US
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Telephone | 816-380-7359
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Fax | 816-380-7363
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MRS. PEGGY J KUTCHBACK
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Credential |
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Telephone | 816-380-7359
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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