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General NPI Number Information
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NPI Number | 1346736030
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Entity Type | Organization
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Legal Business Name | OASIS SURGICAL BILLING COMPANY LLC
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Dates
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Enumeration Date | 07/05/2018
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Last Update Date | 07/05/2018
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Provider Practice Location Address
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Address Line | 800 KENNESAW AVE NW
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City | MARIETTA
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State | GA
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Zip | 30060-1051
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Country | US
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Telephone | 770-687-9068
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Fax |
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Provider Business Mailing Address
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Address Line | 800 KENNESAW AVE NW
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City | MARIETTA
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State | GA
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Zip | 30060-1051
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Country | US
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Telephone | 770-687-9068
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | KELSEY CRATER
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Credential | CST
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Telephone | 770-687-9068
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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 |
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License Number State | GA
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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 | GA
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