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General NPI Number Information
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NPI Number | 1962735951
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Entity Type | Organization
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Legal Business Name | OBERLANDER SURGICAL ASSISTANTS, INC.
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Dates
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Enumeration Date | 09/09/2009
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Last Update Date | 09/09/2009
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Provider Practice Location Address
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Address Line | 19305 S. GIBIN STREET
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City | DENVER
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State | CO
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Zip | 80210
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Country | US
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Telephone | 303-514-9190
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Fax | 281-462-1554
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Provider Business Mailing Address
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Address Line | PO BOX 100536
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City | DENVER
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State | CO
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Zip | 80250-0536
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Country | US
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Telephone | 303-514-9190
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Fax | 281-462-1554
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Authorized Official
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Title or Position | OWNER
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Name | MR. SEAN OBERLANDER
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Credential | SA
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Telephone | 303-514-9190
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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