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General NPI Number Information
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NPI Number | 1457348237
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Entity Type | Organization
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Legal Business Name | BAY SURGICAL SPECIALISTS, LLC
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Dates
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Enumeration Date | 10/05/2005
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Last Update Date | 01/07/2025
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Provider Practice Location Address
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Address Line | 960 7TH AVE N
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City | ST PETERSBURG
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State | FL
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Zip | 33705-1347
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Country | US
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Telephone | 727-821-8101
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Fax | 727-894-8360
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Provider Business Mailing Address
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Address Line | 960 7TH AVE N
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City | ST PETERSBURG
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State | FL
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Zip | 33705-1347
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Country | US
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Telephone | 727-821-8101
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Fax | 727-894-8360
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Authorized Official
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Title or Position | PRACTICE ADMINISTRATOR
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Name | JADE DUNCANSON
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Credential |
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Telephone | 727-821-8101
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number |
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License Number State |
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