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General NPI Number Information
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NPI Number | 1336760297
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Entity Type | Organization
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Legal Business Name | FIRST ASSIST SURGICAL SOLUTIONS
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Dates
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Enumeration Date | 05/01/2020
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Last Update Date | 05/04/2020
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Provider Practice Location Address
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Address Line | 777 S FEDERAL HWY APT K305
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City | POMPANO BEACH
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State | FL
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Zip | 33062-5992
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Country | US
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Telephone | 561-703-3590
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 10872
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City | POMPANO BEACH
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State | FL
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Zip | 33061-6872
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Country | US
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Telephone | 561-703-3590
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Fax |
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Authorized Official
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Title or Position | MGR
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Name | CHRISTINE D COLLINS
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Credential | PA-C
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Telephone | 561-703-3590
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician 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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