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General NPI Number Information
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NPI Number | 1003289141
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Entity Type | Organization
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Legal Business Name | DEPENDABLE SURGICAL ASSISTANTS, PLLC
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Dates
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Enumeration Date | 11/11/2015
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Last Update Date | 11/11/2015
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Provider Practice Location Address
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Address Line | 1206 RUNNING BEAR TRL
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City | CROSBY
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State | TX
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Zip | 77532-3614
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Country | US
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Telephone | 713-569-4918
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Fax | 281-324-3165
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Provider Business Mailing Address
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Address Line | PO BOX 528
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City | CROSBY
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State | TX
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Zip | 77532-0528
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Country | US
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Telephone | 713-569-4918
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | JUDITH LYNNE FRISK-COX
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Credential |
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Telephone | 713-569-4918
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 246ZC0007X
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Taxonomy Name | Surgical Assistant
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License Number |
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License Number State |
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