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General NPI Number Information
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NPI Number | 1093543639
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Entity Type | Organization
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Legal Business Name | PS ESSENTIAL SERVICES LLC
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Dates
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Enumeration Date | 07/24/2024
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Last Update Date | 07/25/2024
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Provider Practice Location Address
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Address Line | 11200 BISCAYNE BLVD APT 133
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City | MIAMI
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State | FL
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Zip | 33181-3448
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Country | US
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Telephone | 786-707-0560
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Fax |
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Provider Business Mailing Address
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Address Line | 11200 BISCAYNE BLVD APT 133
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City | MIAMI
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State | FL
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Zip | 33181-3448
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Country | US
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Telephone | 786-707-0560
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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 | PEDRO DANIEL SUAREZ MOSQUERA
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Credential | CSFA
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Telephone | 786-707-0560
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number |
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License Number State |
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