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General NPI Number Information
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NPI Number | 1407670763
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Entity Type | Organization
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Legal Business Name | GEORGIA SURGICARE
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Dates
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Enumeration Date | 11/13/2024
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Last Update Date | 11/13/2024
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Provider Practice Location Address
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Address Line | 14012 US HIGHWAY 19 STE 350
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City | HUDSON
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State | FL
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Zip | 34667-1165
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Country | US
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Telephone | 678-466-6760
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Fax | 678-802-7094
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Provider Business Mailing Address
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Address Line | 14012 US HIGHWAY 19 STE 350
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City | HUDSON
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State | FL
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Zip | 34667-1165
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Country | US
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Telephone | 678-466-6760
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Fax | 678-802-7094
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Authorized Official
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Title or Position | CEO
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Name | ANGELINA POSTOEV
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Credential | MD
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Telephone | 678-466-6760
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number |
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License Number State |
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