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General NPI Number Information
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NPI Number | 1194017954
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Entity Type | Organization
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Legal Business Name | DIRECT SURGICAL ASSIST PA
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Dates
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Enumeration Date | 05/11/2011
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Last Update Date | 05/11/2011
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Provider Practice Location Address
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Address Line | 695 N ASPEN LAKES WAY
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City | STAR
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State | ID
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Zip | 83669-5674
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Country | US
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Telephone | 208-989-0598
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Fax |
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Provider Business Mailing Address
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Address Line | 695 N ASPEN LAKES WAY
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City | STAR
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State | ID
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Zip | 83669-5674
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Country | US
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Telephone | 208-989-0598
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JEFFREY DALE SMITH
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Credential | PA-C
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Telephone | 208-989-0598
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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