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General NPI Number Information
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NPI Number | 1346596079
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Entity Type | Organization
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Legal Business Name | ROBOTIC AND SURGICAL ASSISTANTS
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Dates
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Enumeration Date | 07/31/2012
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Last Update Date | 03/28/2017
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Provider Practice Location Address
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Address Line | 2313 PARKHAVEN DRIVE
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City | PLANO
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State | TX
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Zip | 75075-2014
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Country | US
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Telephone | 682-738-8079
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Fax | 682-738-8079
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Provider Business Mailing Address
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Address Line | 2313 PARKHAVEN DRIVE
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City | PLANO
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State | TX
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Zip | 75075-2014
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Country | US
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Telephone | 682-738-8079
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Fax | 682-738-8079
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | DONNA J. OLSON
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Credential | PA-C
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Telephone | 682-738-8079
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WR0006X
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Taxonomy Name | Registered Nurse First Assistant
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License Number | 631427
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License Number State | TX
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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 | TX
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Taxonomy #3
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | PA00025
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License Number State | TX
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