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General NPI Number Information
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NPI Number | 1326570334
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Entity Type | Organization
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Legal Business Name | SURGEONS ASSISTANT RITA YAMEL DAVID INC
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Dates
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Enumeration Date | 03/29/2017
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Last Update Date | 03/29/2017
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Provider Practice Location Address
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Address Line | 3720 COLLEGE PARK DR # 6304
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City | CONROE
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State | TX
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Zip | 77384
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Country | US
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Telephone | 832-693-8688
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 130262
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City | SPRING
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State | TX
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Zip | 77393-0262
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Country | US
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Telephone | 832-693-8688
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Fax |
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Authorized Official
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Title or Position | INITIAL REGISTERED AGENT
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Name | MISS RITA Y DAVID
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Credential | CSA
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Telephone | 832-693-8688
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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 | 4526
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License Number State | TX
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