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General NPI Number Information
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NPI Number | 1174521959
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Entity Type | Organization
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Legal Business Name | UNITED SURGICAL ASSOCIATES, P.C
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Dates
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Enumeration Date | 07/14/2005
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Last Update Date | 09/26/2008
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Provider Practice Location Address
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Address Line | 75 N SCOTT ST
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City | CARBONDALE
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State | PA
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Zip | 18407-1833
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Country | US
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Telephone | 570-281-9000
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Fax | 570-281-9200
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Provider Business Mailing Address
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Address Line | 75 N SCOTT ST
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City | CARBONDALE
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State | PA
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Zip | 18407-1833
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Country | US
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Telephone | 570-281-9000
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Fax | 570-281-9200
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOSEPH G WROBLESKI JR.
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Credential | D.O.
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Telephone | 570-281-9000
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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 | OS009172L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | OS009172L
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License Number State | PA
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