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General NPI Number Information
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NPI Number | 1598167009
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Entity Type | Organization
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Legal Business Name | BEST SURGICAL SERVICES
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Dates
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Enumeration Date | 09/16/2014
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Last Update Date | 06/20/2018
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Provider Practice Location Address
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Address Line | 23501 CINCO RANCH BLVD H120
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City | KATY
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State | TX
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Zip | 77494-3095
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Country | US
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Telephone | 786-556-8819
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Fax | 281-396-4688
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Provider Business Mailing Address
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Address Line | 23501 CINCO RANCH BLVD H120
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City | KATY
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State | TX
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Zip | 77494-3095
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Country | US
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Telephone | 786-556-8819
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Fax | 281-396-4688
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Authorized Official
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Title or Position | LSA
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Name | NORBE BASULTO
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Credential |
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Telephone | 768-556-8818
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | SA00474
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License Number State | TX
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