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General NPI Number Information
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NPI Number | 1104789205
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Entity Type | Organization
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Legal Business Name | AGI SURGICAL SERVICES LLC
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Dates
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Enumeration Date | 12/05/2025
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 717 COASTAL AVE
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City | STAFFORD
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State | VA
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Zip | 22554-2589
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Country | US
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Telephone | 703-622-2240
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Fax |
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Provider Business Mailing Address
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Address Line | 440 MONTICELLO AVE STE. 1802 PMB 303660
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City | NORFOLK
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State | VA
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Zip | 23510-2670
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Country | US
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Telephone | 703-622-2240
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ALFI ALVAREZ
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Credential | CSA
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Telephone | 703-622-2240
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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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