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General NPI Number Information
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NPI Number | 1790317949
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Entity Type | Organization
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Legal Business Name | PRECISION SURGERY PARTNERS,LLC
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Dates
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Enumeration Date | 02/05/2020
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Last Update Date | 02/05/2020
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Provider Practice Location Address
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Address Line | 10650 CULEBRA RD STE 104-280
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City | SAN ANTONIO
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State | TX
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Zip | 78251-4949
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Country | US
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Telephone | 210-789-1267
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Fax |
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Provider Business Mailing Address
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Address Line | 11230 FM 1560 N LOT 3
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City | HELOTES
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State | TX
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Zip | 78023-4288
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Country | US
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Telephone | 210-789-1267
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | PAUL MONTANO
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Credential | OPA-C,LSA
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Telephone | 210-789-1267
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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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