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General NPI Number Information
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NPI Number | 1235760240
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Entity Type | Organization
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Legal Business Name | RIGHT HAND SURGICAL ASSISTANT, LLC
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Dates
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Enumeration Date | 01/29/2020
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Last Update Date | 12/15/2021
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Provider Practice Location Address
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Address Line | 4700 SETON CENTER PKWY STE 100
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City | AUSTIN
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State | TX
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Zip | 78759-6215
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Country | US
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Telephone | 512-439-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 1913 SAND CREEK RD
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City | CEDAR PARK
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State | TX
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Zip | 78613-7664
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. JEANELLE PICKERING WOLSKI
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Credential | LSA
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Telephone | 512-716-9664
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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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Taxonomy #2
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number |
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License Number State |
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