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General NPI Number Information
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NPI Number | 1417722372
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Entity Type | Organization
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Legal Business Name | ASSERTIVE SURGICAL NETWORK, LLC
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Dates
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Enumeration Date | 11/21/2023
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Last Update Date | 04/07/2025
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Provider Practice Location Address
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Address Line | 2500 CALLE OBISPADO URB. JARDINES FAGOT
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City | PONCE
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State | PR
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Zip | 00716
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Country | US
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Telephone | 787-813-1010
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Fax |
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Provider Business Mailing Address
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Address Line | 604 CALLE FELIPE SEGUNDO MANSION REAL
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City | COTO LAUREL
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State | PR
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Zip | 00780
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Country | US
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Telephone | 787-415-1142
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Fax |
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Authorized Official
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Title or Position | CREDENTIALING
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Name | JUAN M PAGAN
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Credential | MHSA
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Telephone | 787-813-1010
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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