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General NPI Number Information
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NPI Number | 1275100133
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Entity Type | Organization
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Legal Business Name | FIRST CHOICE SURGICAL ASSISTING
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Dates
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Enumeration Date | 06/09/2021
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Last Update Date | 03/18/2022
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Provider Practice Location Address
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Address Line | 2222 N NEVADA AVE
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City | COLORADO SPRINGS
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State | CO
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Zip | 80907-6819
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Country | US
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Telephone | 307-220-1112
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Fax |
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Provider Business Mailing Address
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Address Line | 4679 SKYWRITER CIR
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City | COLORADO SPRINGS
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State | CO
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Zip | 80922-2151
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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 | CSFA
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Name | AMBERLEE MORE
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Credential |
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Telephone | 307-220-1112
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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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