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General NPI Number Information
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NPI Number | 1083885784
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Entity Type | Organization
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Legal Business Name | TOTAL BODY SURGICAL ASSISTANTS INC
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Dates
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Enumeration Date | 03/20/2008
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Last Update Date | 03/20/2008
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Provider Practice Location Address
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Address Line | 4911 RFD SUITE 200
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City | LONG GROVE
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State | IL
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Zip | 60047-8227
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Country | US
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Telephone | 815-353-0117
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Fax | 888-841-8140
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Provider Business Mailing Address
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Address Line | 4911 RFD SUITE 200
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City | LONG GROVE
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State | IL
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Zip | 60047-8227
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Country | US
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Telephone | 815-353-0117
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Fax | 888-841-8140
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. PAUL CHRISTOPHER DILLON
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Credential |
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Telephone | 815-353-0117
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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