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General NPI Number Information
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NPI Number | 1922142298
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Entity Type | Organization
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Legal Business Name | SOUTHEASTERN SURGICAL ASSOCIATES
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Dates
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Enumeration Date | 02/19/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2500 STARLING ST STE 201
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City | BRUNSWICK
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State | GA
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Zip | 31520-4219
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Country | US
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Telephone | 912-265-5125
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Fax | 912-261-0907
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Provider Business Mailing Address
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Address Line | 2500 STARLING ST STE 201
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City | BRUNSWICK
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State | GA
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Zip | 31520-4219
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Country | US
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Telephone | 912-265-5125
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Fax | 912-261-0907
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Authorized Official
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Title or Position | PARTNER
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Name | VINCENT ARLAUSKAS
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Credential | M.D.
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Telephone | 912-265-5125
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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