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General NPI Number Information
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NPI Number | 1386100824
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Entity Type | Organization
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Legal Business Name | ADVANCED SURGICAL SERVICES OF TEXAS
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Dates
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Enumeration Date | 02/20/2019
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Last Update Date | 02/20/2019
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Provider Practice Location Address
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Address Line | 3108 MIDWAY RD STE 204
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City | PLANO
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State | TX
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Zip | 75093-1615
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Country | US
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Telephone | 214-716-0036
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Fax | 469-617-2359
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Provider Business Mailing Address
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Address Line | 5960 W PARKER RD STE 278
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City | PLANO
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State | TX
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Zip | 75093-7792
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Country | US
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Telephone | 214-716-0036
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Fax | 469-617-2359
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Authorized Official
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Title or Position | MANAGER
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Name | CINDY COX
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Credential |
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Telephone | 214-716-0036
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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