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General NPI Number Information
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NPI Number | 1396139382
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Entity Type | Organization
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Legal Business Name | FIRST ASSIST SURGICAL SPECIALISTS LLC
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Dates
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Enumeration Date | 03/27/2015
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Last Update Date | 09/20/2022
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Provider Practice Location Address
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Address Line | 1102 N GALLOWAY AVE
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City | MESQUITE
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State | TX
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Zip | 75149-2436
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Country | US
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Telephone | 469-518-7853
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Fax | 469-232-9917
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Provider Business Mailing Address
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Address Line | 10455 N CENTRAL EXPY SUITE 109, PMB 125
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City | DALLAS
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State | TX
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Zip | 75231-2213
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Country | US
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Telephone | 469-518-7853
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Fax | 469-232-9917
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | SARAH TAYLOR
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Credential |
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Telephone | 469-518-7853
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 246ZS0410X
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Taxonomy Name | Surgical Technologist
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License Number |
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License Number State |
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