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General NPI Number Information
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NPI Number | 1457763666
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Entity Type | Organization
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Legal Business Name | SURGICAL ASSISTING
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Dates
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Enumeration Date | 05/21/2014
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Last Update Date | 05/21/2014
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Provider Practice Location Address
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Address Line | 2503 SALVATIERRA AVE APT 8
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City | EDINBURG
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State | TX
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Zip | 78541-4125
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Country | US
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Telephone | 956-534-0680
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Fax |
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Provider Business Mailing Address
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Address Line | 2503 SALVATIERRA AVE APT 8
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City | EDINBURG
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State | TX
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Zip | 78541-4125
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Country | US
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Telephone | 956-534-0680
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Fax |
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Authorized Official
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Title or Position | CERTIFIED SURGICAL FIRST ASSISTANT
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Name | MR. THOMAS M MONTANER
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Credential | CFA
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Telephone | 956-534-0680
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 90433
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License Number State | TX
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