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General NPI Number Information
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NPI Number | 1124934526
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Entity Type | Organization
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Legal Business Name | MONARCH SURGICAL ASSOCIATES LLC
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Dates
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Enumeration Date | 08/24/2026
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Last Update Date | 08/24/2026
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Provider Practice Location Address
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Address Line | 402 HILL CREST WAY
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City | WOODSTOCK
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State | GA
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Zip | 30188-2260
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Country | US
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Telephone | 404-455-0278
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Fax |
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Provider Business Mailing Address
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Address Line | 6175 HICKORY FLAT HWY STE 110-180
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City | CANTON
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State | GA
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Zip | 30115-7207
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Country | US
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Telephone | 404-455-0278
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MRS. KATHRYN THERESA STANCHEV
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Credential | CSA
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Telephone | 404-455-0278
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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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