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General NPI Number Information
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NPI Number | 1366636904
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Entity Type | Organization
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Legal Business Name | CURTISS SURGICAL ASSISTANTS LLC.
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Dates
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Enumeration Date | 08/28/2007
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Last Update Date | 08/28/2007
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Provider Practice Location Address
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Address Line | 4707 HERON VIEW PL
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City | LA GRANGE
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State | KY
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Zip | 40031-6709
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Country | US
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Telephone | 502-222-1776
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Fax | 502-222-1776
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Provider Business Mailing Address
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Address Line | 4707 HERON VIEW PL
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City | LA GRANGE
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State | KY
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Zip | 40031-6709
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Country | US
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Telephone | 502-222-1776
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Fax | 502-222-1776
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | MS. KERRY CURTISS
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Credential | ARNP
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Telephone | 502-222-1776
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 5257P
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License Number State | KY
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