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General NPI Number Information
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NPI Number | 1093926867
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Entity Type | Organization
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Legal Business Name | SOUTHEAST FIRST ASSISTANTS INC
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Dates
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Enumeration Date | 05/24/2007
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Last Update Date | 09/23/2008
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Provider Practice Location Address
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Address Line | 102 BURNSIDE TRL
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City | HENDERSONVILLE
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State | NC
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Zip | 28792-8639
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Country | US
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Telephone | 828-272-6900
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Fax | 828-272-9570
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Provider Business Mailing Address
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Address Line | 102 BURNSIDE TRL
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City | HENDERSONVILLE
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State | NC
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Zip | 28792-8639
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Country | US
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Telephone | 828-272-6900
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Fax | 828-272-9570
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Authorized Official
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Title or Position | PRESIDENT
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Name | SUSAN JOHNSON
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Credential | RNFA
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Telephone | 828-272-6900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WR0006X
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Taxonomy Name | Registered Nurse First Assistant
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License Number | 143199
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License Number State | NC
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