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General NPI Number Information
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NPI Number | 1619591690
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Entity Type | Organization
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Legal Business Name | EXPERT SURGICAL, PLLC
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Dates
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Enumeration Date | 06/04/2020
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Last Update Date | 04/05/2022
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Provider Practice Location Address
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Address Line | 5575 WARREN PKWY STE 304
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City | FRISCO
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State | TX
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Zip | 75034-4066
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Country | US
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Telephone | 940-577-2090
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Fax | 972-201-9667
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Provider Business Mailing Address
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Address Line | PO BOX 552
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City | BRIDGEPORT
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State | TX
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Zip | 76426-0552
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Country | US
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Telephone | 940-577-2090
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Fax | 972-201-9667
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Authorized Official
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Title or Position | PRACTICE ADMINISTRATOR
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Name | DONNA STOWERS
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Credential |
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Telephone | 940-577-2090
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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 |
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License Number State |
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