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General NPI Number Information
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NPI Number | 1760972954
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Entity Type | Organization
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Legal Business Name | SURGICAL FIRST ASSISTING LLC
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Dates
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Enumeration Date | 05/14/2018
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Last Update Date | 11/07/2023
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Provider Practice Location Address
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Address Line | 360 DEER CREEK LN
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City | TAYLORSVILLE
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State | KY
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Zip | 40071-8271
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Country | US
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Telephone | 502-821-2896
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Fax | 502-473-6399
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Provider Business Mailing Address
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Address Line | PO BOX 489
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City | TAYLORSVILLE
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State | KY
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Zip | 40071-0489
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Country | US
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Telephone | 502-821-2896
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Fax | 502-473-6399
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Authorized Official
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Title or Position | OWNER
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Name | MR. JOHN W GEARY IV
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Credential |
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Telephone | 502-821-2896
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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