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General NPI Number Information
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NPI Number | 1851945984
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Entity Type | Organization
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Legal Business Name | SURGICAL ASSISTANCE LLC
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Dates
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Enumeration Date | 07/26/2019
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Last Update Date | 07/29/2019
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Provider Practice Location Address
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Address Line | 2925 E RIGGS RD STE 8-195
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City | CHANDLER
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State | AZ
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Zip | 85249-4288
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Country | US
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Telephone | 480-993-6057
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Fax |
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Provider Business Mailing Address
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Address Line | 13843 E VALLEJO ST
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City | CHANDLER
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State | AZ
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Zip | 85249-9023
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Country | US
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Telephone | 480-993-6057
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Fax |
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Authorized Official
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Title or Position | RNFA
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Name | STEVEN THOMAS TARRENCE
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Credential | RNFA
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Telephone | 480-993-6057
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WR0006X
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Taxonomy Name | Registered Nurse First Assistant
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License Number |
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License Number State |
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