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General NPI Number Information
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NPI Number | 1053440321
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Entity Type | Organization
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Legal Business Name | SURGICARE INC
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Dates
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Enumeration Date | 03/05/2007
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 840 HAMMOND ST STE 1
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City | BANGOR
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State | ME
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Zip | 04401-4388
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Country | US
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Telephone | 207-947-8454
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Fax | 207-872-7471
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Provider Business Mailing Address
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Address Line | 3 FEDERAL ST STE 110
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City | BILLERICA
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State | MA
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Zip | 01821-3500
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Country | US
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Telephone | 800-797-8744
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Fax | 800-338-6304
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. ANDRES MORENO III
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Credential |
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Telephone | 866-356-7846
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 332B00000X
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License Number State | ME
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Taxonomy #2
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number | 335E00000X
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License Number State | ME
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