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General NPI Number Information
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NPI Number | 1932607074
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Entity Type | Organization
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Legal Business Name | CAND A SURGICAL ASSISTANT SAND CONSULTANTS LLC.
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Dates
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Enumeration Date | 01/23/2018
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Last Update Date | 01/23/2018
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Provider Practice Location Address
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Address Line | 7759 GREENSWARTH LN
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City | HOUSTON
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State | TX
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Zip | 77075-3607
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Country | US
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Telephone | 832-967-4960
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Fax |
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Provider Business Mailing Address
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Address Line | 7759 GREENSWARTH LN
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City | HOUSTON
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State | TX
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Zip | 77075-3607
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Country | US
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Telephone | 832-967-4960
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Fax |
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Authorized Official
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Title or Position | CERTIFIED SURGICAL ASSISTANT
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Name | MR. CHARLES LENFORD HOUSE JR.
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Credential | CSA/CST
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Telephone | 832-967-4960
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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 |
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License Number State |
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