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General NPI Number Information
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NPI Number | 1053101303
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Entity Type | Organization
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Legal Business Name | MIDWEST SURGICAL FIRST ASSISTANTS LLC
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Dates
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Enumeration Date | 05/09/2025
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Last Update Date | 05/09/2025
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Provider Practice Location Address
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Address Line | 1960 HASTINGS DR
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City | HOFFMAN ESTATES
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State | IL
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Zip | 60169-6821
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Country | US
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Telephone | 414-491-1665
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Fax |
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Provider Business Mailing Address
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Address Line | 1960 HASTINGS DR
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City | HOFFMAN ESTATES
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State | IL
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Zip | 60169-6821
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Country | US
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Telephone | 414-491-1665
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Fax |
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Authorized Official
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Title or Position | CERTIFIED SURGICAL FIRST ASSISTANT
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Name | CHRISTINA MARIA JOHNSON
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Credential | CSFA
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Telephone | 414-491-1665
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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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