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General NPI Number Information
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NPI Number | 1386182582
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Entity Type | Organization
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Legal Business Name | ANTON SURGICAL ASSOCIATES PLLC
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Dates
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Enumeration Date | 02/08/2017
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Last Update Date | 02/08/2017
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Provider Practice Location Address
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Address Line | 7557 RAMBLER RD STE 730
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City | DALLAS
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State | TX
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Zip | 75231-2405
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Country | US
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Telephone | 214-452-7705
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Fax |
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Provider Business Mailing Address
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Address Line | 7557 RAMBLER RD STE 730
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City | DALLAS
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State | TX
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Zip | 75231-2405
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Country | US
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Telephone | 214-452-7705
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | DR. SEAN JONES-QUAIDOO
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Credential | MD
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Telephone | 214-452-7705
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number |
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License Number State |
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