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General NPI Number Information
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NPI Number | 1588830376
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Entity Type | Organization
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Legal Business Name | PLASTIC SURGERY ASSOCIATES SURGERY CENTER
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Dates
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Enumeration Date | 05/01/2008
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Last Update Date | 05/01/2008
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Provider Practice Location Address
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Address Line | 50 S SAN MATEO DR SUITE 460
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City | SAN MATEO
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State | CA
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Zip | 94401-3857
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Country | US
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Telephone | 650-348-5882
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Fax | 650-348-0394
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Provider Business Mailing Address
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Address Line | 50 S SAN MATEO DR SUITE 460
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City | SAN MATEO
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State | CA
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Zip | 94401-3857
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Country | US
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Telephone | 650-348-5882
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Fax | 650-348-0394
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Authorized Official
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Title or Position | CEO
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Name | FRANK J PIRO
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Credential | MD
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Telephone | 650-348-5882
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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 | FNP33559
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License Number State | CA
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