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General NPI Number Information
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NPI Number | 1134043102
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Entity Type | Organization
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Legal Business Name | J.DEWAR SURGICAL SERVICES LLC
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Dates
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Enumeration Date | 08/04/2026
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Last Update Date | 08/04/2026
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Provider Practice Location Address
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Address Line | 3894 DEERCREEK DR
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City | POWDER SPRINGS
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State | GA
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Zip | 30127-2380
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Country | US
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Telephone | 407-456-6222
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Fax |
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Provider Business Mailing Address
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Address Line | 3894 DEERCREEK DR
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City | POWDER SPRINGS
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State | GA
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Zip | 30127-2380
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Country | US
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Telephone | 407-456-6222
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Fax |
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Authorized Official
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Title or Position | SURGICAL ASSISTANT
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Name | MS. JHEANELLE ANN ELIZABETH DEWAR
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Credential | CSFA
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Telephone | 407-456-6222
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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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