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General NPI Number Information
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NPI Number | 1336349430
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Entity Type | Organization
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Legal Business Name | ASCENSION SURGICAL ASSISTANTS LLC
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Dates
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Enumeration Date | 07/18/2007
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Last Update Date | 07/18/2007
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Provider Practice Location Address
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Address Line | 7501 FANNIN ST
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City | HOUSTON
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State | TX
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Zip | 77054-1938
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Country | US
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Telephone | 713-375-7314
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Fax | 713-375-7125
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Provider Business Mailing Address
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Address Line | 1221 MCKINNEY ST STE 3240
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City | HOUSTON
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State | TX
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Zip | 77010-2037
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Country | US
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Telephone | 713-375-7314
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Fax | 713-375-7125
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Authorized Official
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Title or Position | CFO
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Name | MRS. DIANA DIAZ
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Credential |
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Telephone | 713-375-7100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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