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General NPI Number Information
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NPI Number | 1831592542
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Entity Type | Organization
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Legal Business Name | VASS VOCATIONAL SERVICES, IN.
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Dates
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Enumeration Date | 10/08/2014
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Last Update Date | 10/08/2014
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Provider Practice Location Address
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Address Line | 304 BIBB LANE
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City | SUMMERSVILLE
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State | WV
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Zip | 26651
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Country | US
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Telephone | 304-872-0858
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Fax | 304-872-4813
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Provider Business Mailing Address
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Address Line | PO BOX 250
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City | MOUNT LOOKOUT
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State | WV
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Zip | 26678-0250
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Country | US
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Telephone | 304-872-0858
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Fax | 304-872-4813
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Authorized Official
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Title or Position | OWNER
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Name | MR. CASEY B. VASS
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Credential | R.N., M.S
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Telephone | 304-872-0858
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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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