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General NPI Number Information
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NPI Number | 1003666165
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Entity Type | Organization
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Legal Business Name | IN SITU SURGICAL
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Dates
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Enumeration Date | 03/22/2024
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Last Update Date | 04/29/2025
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Provider Practice Location Address
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Address Line | 2605 BROOKVIEW DR
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City | PLANO
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State | TX
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Zip | 75074-4907
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Country | US
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Telephone | 214-227-2457
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Fax | 214-764-0880
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Provider Business Mailing Address
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Address Line | 2605 BROOKVIEW DR
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City | PLANO
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State | TX
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Zip | 75074-4907
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Country | US
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Telephone | 214-227-2457
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Fax | 214-764-0880
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Authorized Official
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Title or Position | OWNER
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Name | MRS. ASHLEY MARIE SOLTIS
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Credential | CSFA
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Telephone | 214-227-2457
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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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 | 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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