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General NPI Number Information
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NPI Number | 1235553454
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Entity Type | Organization
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Legal Business Name | SURGICAL CONSULTANTS INTERNATIONAL, PC
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Dates
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Enumeration Date | 02/07/2014
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 12800 MISSISSIPPI PKWY STE C101
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City | CROWN POINT
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State | IN
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Zip | 46307-6901
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Country | US
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Telephone | 219-661-0444
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Fax | 219-661-8111
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Provider Business Mailing Address
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Address Line | PO BOX 846
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City | CROWN POINT
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State | IN
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Zip | 46308-0846
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Country | US
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Telephone | 219-662-3931
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Fax | 219-663-6359
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Authorized Official
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Title or Position | OWNER
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Name | SEFERINO FARIAS
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Credential | MD
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Telephone | 219-661-0444
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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 |
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License Number State |
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