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General NPI Number Information
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NPI Number | 1568715274
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Entity Type | Organization
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Legal Business Name | ACI SURGICAL ASSOCIATES
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Dates
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Enumeration Date | 10/18/2012
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Last Update Date | 10/18/2012
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Provider Practice Location Address
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Address Line | 4700 WATERS AVE
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City | SAVANNAH
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State | GA
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Zip | 31404-6220
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Country | US
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Telephone | 912-350-2299
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Fax | 912-350-2298
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Provider Business Mailing Address
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Address Line | 4700 WATERS AVE
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City | SAVANNAH
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State | GA
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Zip | 31404-6220
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Country | US
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Telephone | 912-350-2299
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Fax | 912-350-2298
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | MS. GAIL F BYRD
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Credential | MED
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Telephone | 912-350-4243
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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 | 86823
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License Number State | GA
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