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General NPI Number Information
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NPI Number | 1801400643
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Entity Type | Organization
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Legal Business Name | CDS FIRST ASSISTING INC
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Dates
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Enumeration Date | 08/31/2020
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Last Update Date | 08/31/2020
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Provider Practice Location Address
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Address Line | 55 STONESTHROW CT
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City | ALEXANDRIA
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State | OH
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Zip | 43001-8779
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Country | US
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Telephone | 760-731-0313
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Fax | 951-587-8277
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Provider Business Mailing Address
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Address Line | 55 STONESTHROW CT
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City | ALEXANDRIA
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State | OH
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Zip | 43001-8779
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Country | US
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Telephone | 760-731-0313
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Fax | 951-587-8277
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Authorized Official
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Title or Position | PRESIDENT
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Name | COLE D STATEN
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Credential | CSFA
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Telephone | 614-402-1869
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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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