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General NPI Number Information
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NPI Number | 1831896562
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Entity Type | Organization
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Legal Business Name | LAKE CITY SURGICAL ASSISTANTS LLC
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Dates
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Enumeration Date | 02/13/2023
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Last Update Date | 02/13/2023
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Provider Practice Location Address
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Address Line | 3602 WOODHAVEN DR
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City | SOMERSET
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State | KY
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Zip | 42503-9512
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Country | US
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Telephone | 270-250-1256
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Fax |
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Provider Business Mailing Address
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Address Line | 3602 WOODHAVEN DR
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City | SOMERSET
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State | KY
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Zip | 42503-9512
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Country | US
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Telephone | 270-250-1256
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | GREGORY TYLER MANN
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Credential | CSFA KCSA
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Telephone | 270-250-1256
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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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