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General NPI Number Information
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NPI Number | 1346868890
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Entity Type | Organization
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Legal Business Name | UPNT SURGERY LLC
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Dates
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Enumeration Date | 07/10/2020
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Last Update Date | 06/13/2023
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Provider Practice Location Address
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Address Line | 2400 MATLOCK RD
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City | ARLINGTON
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State | TX
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Zip | 76015-1618
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Country | US
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Telephone | 817-710-8154
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Fax |
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Provider Business Mailing Address
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Address Line | 6620 BRYANT IRVIN RD STE 200
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City | FORT WORTH
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State | TX
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Zip | 76132-4224
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Country | US
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Telephone | 817-925-8460
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. KATHERINE MAUREEN EARLY
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Credential |
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Telephone | 817-710-8154
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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