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General NPI Number Information
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NPI Number | 1255774345
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Entity Type | Organization
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Legal Business Name | OMNI SURGICAL, LLC
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Dates
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Enumeration Date | 04/09/2013
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Last Update Date | 04/09/2013
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Provider Practice Location Address
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Address Line | 5000 PLAZA ON THE LK SUITE 305
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City | AUSTIN
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State | TX
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Zip | 78746-1069
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Country | US
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Telephone | 512-327-6400
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Fax |
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Provider Business Mailing Address
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Address Line | 5000 PLAZA ON THE LK SUITE 305
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City | AUSTIN
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State | TX
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Zip | 78746-1069
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Country | US
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Telephone | 512-327-6400
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | MR. WILLIAM BISELL DANIEL JR.
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Credential |
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Telephone | 512-327-6400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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