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General NPI Number Information
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NPI Number | 1699616680
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Entity Type | Organization
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Legal Business Name | MARIAH K SURGICAL ASSISTING, LLC
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Dates
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Enumeration Date | 04/03/2026
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Last Update Date | 04/03/2026
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Provider Practice Location Address
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Address Line | 1600 HOSPITAL PKWY
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City | BEDFORD
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State | TX
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Zip | 76022-6913
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Country | US
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Telephone | 657-488-4717
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Fax |
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Provider Business Mailing Address
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Address Line | 752 EAGLE DR
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City | SAGINAW
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State | TX
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Zip | 76131-4897
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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 | CSFA
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Name | MARIAH KIRK
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Credential |
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Telephone | 657-488-4717
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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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