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General NPI Number Information
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NPI Number | 1982856829
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Entity Type | Organization
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Legal Business Name | SURGICAL ON CALL SOLUTIONS
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Dates
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Enumeration Date | 10/22/2008
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Last Update Date | 10/22/2008
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Provider Practice Location Address
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Address Line | 1441 N BECKLEY AVE
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City | DALLAS
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State | TX
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Zip | 75203-1201
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Country | US
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Telephone | 214-948-0475
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 820345
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City | NORTH RICHLAND HILLS
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State | TX
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Zip | 76182-0345
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Country | US
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Telephone | 817-605-0991
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Fax | 817-605-0993
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Authorized Official
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Title or Position | PHYSICIAN'S ASSISTANT
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Name | MR. JOHN P KANE
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Credential | PA
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Telephone | 817-605-0991
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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 | PA05284
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License Number State | TX
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