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General NPI Number Information
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NPI Number | 1952772535
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Entity Type | Organization
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Legal Business Name | NATIONAL SURGICALSTAFF HEALTH PROFESSIONALS LLC
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Dates
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Enumeration Date | 10/08/2015
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Last Update Date | 10/21/2015
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Provider Practice Location Address
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Address Line | 236 MONKEY RD
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City | ELGIN
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State | TX
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Zip | 78621-5506
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Country | US
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Telephone | 432-935-1755
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Fax | 512-285-4776
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Provider Business Mailing Address
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Address Line | 236 MONKEY RD
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City | ELGIN
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State | TX
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Zip | 78621-5506
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Country | US
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Telephone | 432-935-1755
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Fax | 512-285-4776
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Authorized Official
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Title or Position | OWNER
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Name | DR. JEROLD STEPHEN GREER
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Credential | PHD LSA OPA-C
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Telephone | 432-935-1755
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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 | SA00074
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 163WM0705X
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Taxonomy Name | Medical-Surgical Registered Nurse
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | SA00074
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License Number State | TX
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