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General NPI Number Information
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NPI Number | 1730497876
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Entity Type | Organization
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Legal Business Name | FIRST CALL SURGICAL ASSISTING INC.
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Dates
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Enumeration Date | 09/23/2010
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Last Update Date | 11/10/2010
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Provider Practice Location Address
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Address Line | 3814 HARMONY DR
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City | ZION
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State | IL
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Zip | 60099-9549
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Country | US
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Telephone | 847-525-8856
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Fax | 847-731-9909
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Provider Business Mailing Address
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Address Line | PO BOX 416
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City | LAKE FOREST
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State | IL
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Zip | 60045-0416
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Country | US
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Telephone | 847-525-8856
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Fax | 847-731-9909
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Authorized Official
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Title or Position | REGISTERED SURGICAL ASSISTANT
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Name | MR. WILLIAM BARRIS SR.
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Credential | RSA-C
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Telephone | 847-525-8856
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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 | 238.000148
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License Number State | IL
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