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Individual
EDWARD LEGARE
Active
Individual
EDWARD LEGARE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RSA
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
0136000017
VA
363AS0400X
Surgical Physician Assistant
Primary
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0136000017
REGISTERED SURGICAL ASSISTANT
VA
Enumeration date
12/04/2013
Last updated
09/17/2023
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