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General NPI Number Information
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NPI Number | 1649796558
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Entity Type | Organization
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Legal Business Name | SMOOTH SURGICAL STAFFING ASSOCIATES
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Dates
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Enumeration Date | 08/22/2017
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Last Update Date | 08/22/2017
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Provider Practice Location Address
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Address Line | 260 EL DORADO 1507
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City | WEBSTER
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State | TX
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Zip | 77598
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Country | US
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Telephone | 832-330-1508
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 20603
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City | HOUSTON
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State | TX
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Zip | 77225-0603
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. TERRY LEE HARDIN JR.
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Credential | CSFA
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Telephone | 832-330-1508
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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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