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General NPI Number Information
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NPI Number | 1841128311
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Entity Type | Organization
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Legal Business Name | UNITED SURGICAL ASSISTS LLC
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Dates
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Enumeration Date | 05/13/2026
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Last Update Date | 05/13/2026
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Provider Practice Location Address
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Address Line | 695 BLOOMFIELD AVE FL 2
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City | MONTCLAIR
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State | NJ
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Zip | 07042-2214
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Country | US
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Telephone | 267-734-8553
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Fax |
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Provider Business Mailing Address
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Address Line | 695 BLOOMFIELD AVE FL 2
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City | MONTCLAIR
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State | NJ
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Zip | 07042-2214
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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 | OWNER
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Name | GABRIEL HUNT
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Credential | MD
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Telephone | 267-734-8553
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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