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General NPI Number Information
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NPI Number | 1356146781
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Entity Type | Organization
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Legal Business Name | MHJ SURGICAL SERVICES, LLC
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Dates
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Enumeration Date | 02/18/2025
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Last Update Date | 02/18/2025
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Provider Practice Location Address
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Address Line | 1700 E SAUNDERS ST
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City | LAREDO
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State | TX
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Zip | 78041-5474
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Country | US
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Telephone | 956-796-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 3202 WINDFALL RD
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City | LAREDO
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State | TX
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Zip | 78045-8132
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Country | US
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Telephone | 956-326-8683
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Fax |
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Authorized Official
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Title or Position | LICENSED SURGICAL ASSISTANT
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Name | MR. MARCOS HERNANDEZ JR.
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Credential | CST, CSFA, LSA
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Telephone | 956-326-8683
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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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 | 207XX0801X
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Taxonomy Name | Orthopaedic Trauma Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2086S0127X
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Taxonomy Name | Trauma Surgery Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 246ZC0007X
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Taxonomy Name | Surgical Assistant
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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