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General NPI Number Information
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NPI Number | 1043987167
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Entity Type | Organization
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Legal Business Name | NORTHERN SURGICAL ASSOCIATES
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Dates
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Enumeration Date | 08/26/2021
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Last Update Date | 08/26/2021
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Provider Practice Location Address
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Address Line | 16360 MONTEREY RD STE 280
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City | MORGAN HILL
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State | CA
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Zip | 95037-5496
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Country | US
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Telephone | 408-825-1333
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Fax | 408-825-1333
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Provider Business Mailing Address
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Address Line | 16360 MONTEREY RD STE 280
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City | MORGAN HILL
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State | CA
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Zip | 95037-5496
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Country | US
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Telephone | 408-825-1333
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Fax | 408-825-1333
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Authorized Official
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Title or Position | OWNER
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Name | DR. ANDREW GUENTHART
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Credential | MD
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Telephone | 408-825-1333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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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 | 2086S0105X
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Taxonomy Name | Surgery of the Hand (Surgery) Physician
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License Number |
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License Number State |
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