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General NPI Number Information
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NPI Number | 1932525631
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Entity Type | Organization
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Legal Business Name | FIRST CHOICE SURGICAL ASSISTANCES
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Dates
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Enumeration Date | 03/05/2014
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Last Update Date | 03/05/2014
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Provider Practice Location Address
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Address Line | 38634 TRAVIS LN
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City | ZEPHYRHILLS
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State | FL
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Zip | 33540-3081
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Country | US
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Telephone | 352-424-4043
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Fax |
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Provider Business Mailing Address
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Address Line | 38634 TRAVIS LN
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City | ZEPHYRHILLS
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State | FL
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Zip | 33540-3081
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Country | US
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Telephone | 352-424-4043
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Fax |
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Authorized Official
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Title or Position | MGR
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Name | MR. TRAVIS J FOSS
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Credential | CSFA
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Telephone | 352-424-4043
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 246ZC0007X
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Taxonomy Name | Surgical Assistant
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License Number | 100791
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License Number State | FL
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