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General NPI Number Information
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NPI Number | 1669557617
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Entity Type | Organization
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Legal Business Name | RNFA SURGICAL SPECIALISTS, P.C.
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Dates
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Enumeration Date | 10/26/2006
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Last Update Date | 09/06/2018
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Provider Practice Location Address
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Address Line | 13521 MANE CT
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City | JUSTIN
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State | TX
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Zip | 76247
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Country | US
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Telephone | 817-917-5651
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Fax | 940-648-1293
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Provider Business Mailing Address
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Address Line | PO BOX 171
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City | JUSTIN
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State | TX
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Zip | 76247-0171
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Country | US
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Telephone | 940-648-3919
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Fax | 940-648-3919
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Authorized Official
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Title or Position | REGISTERED NURSE, FIRST ASSISTANT
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Name | MRS. CHRISTINE J WALKER
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Credential | RN, RNFA, CNOR, CFA
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Telephone | 940-648-3919
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WR0006X
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Taxonomy Name | Registered Nurse First Assistant
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License Number | 686637
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License Number State | TX
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