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General NPI Number Information
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NPI Number | 1881873446
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Entity Type | Organization
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Legal Business Name | AMHERST SURGICAL SPECIALISTS PA
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Dates
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Enumeration Date | 10/31/2007
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Last Update Date | 07/25/2012
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Provider Practice Location Address
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Address Line | 3429 W HOLCOMBE BLVD
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City | HOUSTON
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State | TX
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Zip | 77025-1311
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Country | US
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Telephone | 713-993-7124
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Fax | 713-963-0476
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Provider Business Mailing Address
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Address Line | 3429 W HOLCOMBE BLVD
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City | HOUSTON
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State | TX
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Zip | 77025-1311
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Country | US
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Telephone | 713-993-7124
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Fax | 713-963-0476
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Authorized Official
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Title or Position | GENERAL SURGEON
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Name | DR. ROBERT GEORGE MARVIN
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Credential | M.D.
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Telephone | 713-993-7124
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | J7071
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License Number State | TX
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