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General NPI Number Information
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NPI Number | 1114445558
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Entity Type | Organization
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Legal Business Name | RELIANCE SURGICAL ASSISTING INC
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Dates
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Enumeration Date | 09/06/2017
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Last Update Date | 09/06/2017
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Provider Practice Location Address
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Address Line | 3940 KITTERY PT
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City | SNELLVILLE
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State | GA
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Zip | 30039-3121
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Country | US
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Telephone | 404-488-3257
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 390111
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City | SNELLVILLE
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State | GA
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Zip | 30039-0002
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Country | US
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Telephone | 404-488-3257
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Fax | 770-972-8990
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Authorized Official
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Title or Position | CEO
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Name | MS. NAUSHEEN LAKHANI
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Credential | CSA
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Telephone | 404-488-3257
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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