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General NPI Number Information
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NPI Number | 1003017351
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Entity Type | Organization
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Legal Business Name | CARLSBAD SURGERY CENTER, LLC
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Dates
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Enumeration Date | 05/31/2007
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Last Update Date | 07/07/2014
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Provider Practice Location Address
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Address Line | 6121 PASEO DEL NORTE SUITE 100
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City | CARLSBAD
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State | CA
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Zip | 92011-1159
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Country | US
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Telephone | 760-448-2488
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Fax | 760-448-2478
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Provider Business Mailing Address
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Address Line | 6121 PASEO DEL NORTE SUITE 100
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City | CARLSBAD
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State | CA
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Zip | 92011-1159
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Country | US
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Telephone | 760-448-2488
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Fax | 760-448-2478
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Authorized Official
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Title or Position | CEO/MANAGING PARTNER
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Name | MR. SCOTT HAROLD LEGGETT
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Credential |
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Telephone | 760-602-7872
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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