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General NPI Number Information
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NPI Number | 1508037797
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Entity Type | Organization
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Legal Business Name | PLASTIC SURGERY ASSOCIATES, P.A.
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Dates
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Enumeration Date | 03/17/2008
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Last Update Date | 03/17/2008
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Provider Practice Location Address
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Address Line | 385 LEXINGTON PKWY N
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City | SAINT PAUL
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State | MN
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Zip | 55104-4604
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Country | US
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Telephone | 651-645-3966
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Fax |
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Provider Business Mailing Address
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Address Line | 385 LEXINGTON PKWY N
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City | SAINT PAUL
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State | MN
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Zip | 55104-4604
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Country | US
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Telephone | 651-645-3966
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/SURGEON
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Name | DR. FRANK THOMAS PILNEY
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Credential | MD
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Telephone | 651-645-3966
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1744G0900X
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Taxonomy Name | Graphics Designer
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License Number | 015178
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License Number State | MN
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