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General NPI Number Information
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NPI Number | 1205839636
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Entity Type | Organization
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Legal Business Name | BAY AREA SURGICAL ASSOCIATES, INC
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Dates
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Enumeration Date | 05/31/2005
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 401 GREGORY LN STE 204
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City | PLEASANT HILL
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State | CA
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Zip | 94523-2842
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Country | US
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Telephone | 925-798-4606
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Fax | 925-798-4671
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Provider Business Mailing Address
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Address Line | 401 GREGORY LN STE 204
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City | PLEASANT HILL
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State | CA
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Zip | 94523-2842
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Country | US
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Telephone | 925-798-4606
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Fax | 925-798-4671
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | MS. LISA P WOOD
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Credential |
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Telephone | 925-798-4607
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | G54054
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | A43945
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License Number State | CA
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