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General NPI Number Information
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NPI Number | 1386096998
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Entity Type | Organization
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Legal Business Name | SECOND SCALPEL, INC
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Dates
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Enumeration Date | 07/07/2016
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Last Update Date | 07/07/2016
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Provider Practice Location Address
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Address Line | 6736 HORSESHOE BND
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City | ORANGE
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State | TX
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Zip | 77632-7978
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Country | US
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Telephone | 713-588-9302
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Fax |
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Provider Business Mailing Address
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Address Line | 6736 HORSESHOE BND
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City | ORANGE
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State | TX
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Zip | 77632-7978
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Country | US
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Telephone | 713-588-9302
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Fax |
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Authorized Official
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Title or Position | PRESIDENT, CEO
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Name | MRS. SIOBAIN KAY ROGERS
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Credential | FNP-C, CCRN
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Telephone | 713-588-9302
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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 |
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