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General NPI Number Information
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NPI Number | 1548784556
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Entity Type | Organization
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Legal Business Name | NORTH ATLANTIC SURGICAL SUITES, LLC
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Dates
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Enumeration Date | 08/01/2017
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Last Update Date | 11/19/2025
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Provider Practice Location Address
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Address Line | 23 KEEWAYDIN DR
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City | SALEM
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State | NH
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Zip | 03079-2857
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Country | US
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Telephone | 603-386-0272
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Fax | 603-386-0271
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Provider Business Mailing Address
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Address Line | 14201 DALLAS PKWY
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City | DALLAS
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State | TX
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Zip | 75254-2916
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Country | US
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Telephone | 972-763-3859
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Fax | 972-920-3445
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Authorized Official
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Title or Position | OFFICER/AUTHORIZED OFFICIAL
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Name | JONATHAN BAILEY
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Credential |
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Telephone | 203-609-1168
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | 767136
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License Number State | NH
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