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General NPI Number Information
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NPI Number | 1639799224
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Entity Type | Organization
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Legal Business Name | SOVEREIGN SURGICAL ASSISTANTS
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Dates
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Enumeration Date | 04/23/2020
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Last Update Date | 08/08/2022
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Provider Practice Location Address
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Address Line | 8106 CONNER CV
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City | RICHMOND
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State | TX
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Zip | 77407-4039
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Country | US
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Telephone | 713-231-6372
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Fax |
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Provider Business Mailing Address
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Address Line | 8106 CONNER CV
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City | RICHMOND
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State | TX
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Zip | 77407-4039
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Country | US
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Telephone | 214-227-2457
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Fax | 214-764-0880
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Authorized Official
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Title or Position | SURGEON'S ASSISTANT
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Name | FRANCIS A PEREZ
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Credential | LSA
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Telephone | 214-227-2457
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 246ZC0007X
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Taxonomy Name | Surgical Assistant
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License Number |
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License Number State |
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