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General NPI Number Information
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NPI Number | 1760874606
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Entity Type | Organization
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Legal Business Name | SURGICAL ASSISTING
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Dates
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Enumeration Date | 03/02/2015
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Last Update Date | 03/02/2015
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Provider Practice Location Address
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Address Line | 3301 NORTHSTAR RD APT 637
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City | RICHARDSON
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State | TX
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Zip | 75082-2727
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Country | US
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Telephone | 972-835-2160
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Fax |
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Provider Business Mailing Address
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Address Line | 3301 NORTHSTAR RD APT 637
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City | RICHARDSON
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State | TX
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Zip | 75082-2727
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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 | MS. SHEILA B ALFORD
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Credential | CSFA
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Telephone | 972-835-2160
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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