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General NPI Number Information
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NPI Number | 1679508741
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Entity Type | Organization
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Legal Business Name | SURGICAL CONSULTANTS, P.A.
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Dates
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Enumeration Date | 07/11/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 6405 FRANCE AVE S SUITE W440
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City | EDINA
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State | MN
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Zip | 55435-2163
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Country | US
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Telephone | 952-927-7004
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Fax | 952-927-5146
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Provider Business Mailing Address
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Address Line | 4570 W 77TH ST SUITE 235
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City | EDINA
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State | MN
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Zip | 55435-5008
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Country | US
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Telephone | 952-832-0805
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Fax | 952-832-5597
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Authorized Official
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Title or Position | PRESIDENT
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Name | CHRISTOPHER F. ROLAND
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Credential | M.D.
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Telephone | 952-927-7004
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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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