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General NPI Number Information
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NPI Number | 1518198688
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Entity Type | Organization
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Legal Business Name | SAN ANTONIO SURGICAL ASSISTANTS, INC.
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Dates
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Enumeration Date | 08/06/2009
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Last Update Date | 11/23/2015
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Provider Practice Location Address
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Address Line | 540 MADISON OAK DR STE 610
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City | SAN ANTONIO
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State | TX
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Zip | 78258-3924
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Country | US
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Telephone | 210-352-5346
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Fax | 210-352-5367
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Provider Business Mailing Address
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Address Line | 540 MADISON OAK DR STE 610
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City | SAN ANTONIO
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State | TX
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Zip | 78258-3924
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Country | US
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Telephone | 210-352-5346
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Fax | 210-352-5367
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Authorized Official
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Title or Position | PRESIDENT
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Name | CHRISTINA ANN TUCHSEN
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Credential | LSA
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Telephone | 210-352-5346
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 246ZC0007X
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Taxonomy Name | Surgical Assistant
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License Number |
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License Number State | TX
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