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General NPI Number Information
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NPI Number | 1922207943
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Entity Type | Organization
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Legal Business Name | CUTTING EDGE SURGICAL ASSISTANTS
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Dates
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Enumeration Date | 07/11/2007
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Last Update Date | 09/14/2009
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Provider Practice Location Address
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Address Line | 9494 SOUTHWEST FWY SUITE 720
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City | HOUSTON
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State | TX
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Zip | 77074-1419
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Country | US
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Telephone | 713-777-4539
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Fax |
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Provider Business Mailing Address
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Address Line | 9494 SOUTHWEST FWY SUITE 720
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City | HOUSTON
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State | TX
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Zip | 77074-1419
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Country | US
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Telephone | 713-777-4539
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. MICHAEL W HERNANDEZ
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Credential |
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Telephone | 713-777-4539
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 246ZS0410X
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Taxonomy Name | Surgical Technologist
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License Number |
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License Number State |
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