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General NPI Number Information
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NPI Number | 1023590775
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Entity Type | Organization
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Legal Business Name | ATX ROBOTIC SURGERY, LLC
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Dates
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Enumeration Date | 08/29/2018
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Last Update Date | 11/22/2019
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Provider Practice Location Address
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Address Line | 4319 JAMES CASEY ST STE 100
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City | AUSTIN
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State | TX
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Zip | 78745-1189
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Country | US
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Telephone | 512-630-0070
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Fax |
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Provider Business Mailing Address
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Address Line | 4319 JAMES CASEY ST STE 100
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City | AUSTIN
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State | TX
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Zip | 78745-1189
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Country | US
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Telephone | 512-630-0070
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Fax |
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Authorized Official
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Title or Position | OWNER/SURGEON
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Name | SUDEEP DUSTIN BURMAN
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Credential | D.O.
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Telephone | 512-436-9986
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0127X
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Taxonomy Name | Trauma Surgery Physician
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License Number |
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License Number State |
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