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General NPI Number Information
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NPI Number | 1508101429
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Entity Type | Organization
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Legal Business Name | PMB SURGICAL ASSISTING
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Dates
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Enumeration Date | 12/04/2012
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Last Update Date | 12/04/2012
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Provider Practice Location Address
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Address Line | 2819 LOCKERIDGE BEND DR
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City | SPRING
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State | TX
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Zip | 77386-7031
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Country | US
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Telephone | 888-462-9142
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Fax |
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Provider Business Mailing Address
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Address Line | 2819 LOCKERIDGE BEND DR
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City | SPRING
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State | TX
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Zip | 77386-7031
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | PEDRO ZAMORA
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Credential |
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Telephone | 888-462-9142
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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