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General NPI Number Information
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NPI Number | 1952713067
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Entity Type | Organization
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Legal Business Name | ALLIED SURGICAL ASSISTING
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Dates
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Enumeration Date | 05/22/2014
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Last Update Date | 05/22/2014
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Provider Practice Location Address
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Address Line | 301 ELMIRA TRL
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City | HOPATCONG
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State | NJ
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Zip | 07843-1110
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Country | US
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Telephone | 352-745-0282
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 88
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City | HOPATCONG
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State | NJ
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Zip | 07843-0088
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Country | US
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Telephone | 352-745-0282
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | KRISTINE CARTER
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Credential | RNFA
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Telephone | 352-745-0282
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | 26NR12121600
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License Number State | NJ
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