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General NPI Number Information
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NPI Number | 1417977885
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Entity Type | Organization
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Legal Business Name | SURGICAL ASSISTANTS OF AMERICA, INC.
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Dates
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Enumeration Date | 07/20/2006
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Last Update Date | 06/17/2011
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Provider Practice Location Address
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Address Line | 3400 MCCLURE BRIDGE RD BUILDING B201
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City | DULUTH
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State | GA
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Zip | 30096-6675
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Country | US
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Telephone | 678-957-8801
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Fax | 678-957-8804
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Provider Business Mailing Address
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Address Line | 3400 MCCLURE BRIDGE RD BUILDING B201
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City | DULUTH
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State | GA
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Zip | 30096-6675
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Country | US
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Telephone | 678-957-8801
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Fax | 678-957-8804
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Authorized Official
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Title or Position | CEO
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Name | MR. DAN CAVALLARO
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Credential |
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Telephone | 678-957-8801
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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 | 003284
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | 004761
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | 005133
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License Number State | GA
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Taxonomy #4
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | 003653
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License Number State | GA
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Taxonomy #5
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | 003394
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License Number State | GA
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Taxonomy #6
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | 003970
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License Number State | GA
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Taxonomy #7
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 028757
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License Number State | GA
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Taxonomy #8
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 015910
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License Number State | GA
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Taxonomy #9
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | 000870
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License Number State | GA
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Taxonomy #10
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | 004785
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License Number State | GA
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Taxonomy #11
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | 004703
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License Number State | GA
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Taxonomy #12
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | 005631
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License Number State | GA
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Taxonomy #13
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 058760
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License Number State | GA
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