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General NPI Number Information
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NPI Number | 1528027737
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Entity Type | Organization
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Legal Business Name | HARBOR SURGICAL ASSOCIATES, INC., P.S.
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Dates
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Enumeration Date | 03/17/2006
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Last Update Date | 10/02/2013
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Provider Practice Location Address
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Address Line | 1006 N H ST 5TH FLOOR
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City | ABERDEEN
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State | WA
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Zip | 98520-2521
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Country | US
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Telephone | 360-537-6414
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Fax | 360-532-6878
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Provider Business Mailing Address
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Address Line | 1006 N H ST 5TH FLOOR
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City | ABERDEEN
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State | WA
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Zip | 98520-2521
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Country | US
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Telephone | 360-537-6414
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Fax | 360-532-6878
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JURIS M MACS
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Credential | M. D.
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Telephone | 360-537-6414
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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 | MD00010490
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License Number State | WA
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