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General NPI Number Information
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NPI Number | 1710559521
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Entity Type | Organization
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Legal Business Name | US SURGICAL PARTNERS LLC
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Dates
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Enumeration Date | 07/12/2021
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Last Update Date | 07/12/2021
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Provider Practice Location Address
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Address Line | 1398 PARKVIEW ESTATES DR
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City | ELLISVILLE
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State | MO
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Zip | 63021-4643
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Country | US
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Telephone | 314-629-4262
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Fax |
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Provider Business Mailing Address
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Address Line | 277 MISSION BAY BLVD
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City | CAMDENTON
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State | MO
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Zip | 65020-5962
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Country | US
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Telephone | 314-629-4262
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Fax |
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Authorized Official
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Title or Position | SALES
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Name | STEVE PAUL SIGMAN
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Credential | PHYSICIANS ASSISTANT
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Telephone | 314-629-4262
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number |
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License Number State |
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