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General NPI Number Information
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NPI Number | 1891229696
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Entity Type | Organization
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Legal Business Name | SURGICAL SERVICES 2017 PLLC
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Dates
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Enumeration Date | 04/18/2017
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Last Update Date | 04/18/2017
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Provider Practice Location Address
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Address Line | 1901 MILLER RD
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City | ROWLETT
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State | TX
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Zip | 75088-5604
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Country | US
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Telephone | 214-227-2457
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Fax |
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Provider Business Mailing Address
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Address Line | 1901 MILLER RD
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City | ROWLETT
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State | TX
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Zip | 75088-5604
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Country | US
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Telephone | 214-227-2457
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SAEID ARYAN
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Credential | MD
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Telephone | 214-227-2457
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | PA09955
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License Number State | TX
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