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General NPI Number Information
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NPI Number | 1487688487
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Entity Type | Organization
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Legal Business Name | COLORADO COUNTY SURGICAL ASSOCIATES, PLLC
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Dates
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Enumeration Date | 07/10/2006
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Last Update Date | 04/18/2008
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Provider Practice Location Address
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Address Line | 1860 HIGHWAY 71 S
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City | COLUMBUS
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State | TX
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Zip | 78934-2816
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Country | US
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Telephone | 979-732-6552
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Fax | 979-732-2056
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Provider Business Mailing Address
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Address Line | 1860 HIGHWAY 71 S
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City | COLUMBUS
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State | TX
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Zip | 78934-2816
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Country | US
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Telephone | 979-732-6552
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Fax | 979-732-2056
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Authorized Official
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Title or Position | OFFICER
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Name | JULIO AREBALO
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Credential | M.D.
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Telephone | 979-732-6552
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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