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General NPI Number Information
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NPI Number | 1003581794
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Entity Type | Organization
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Legal Business Name | LENOX SURGERY CENTER LLC
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Dates
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Enumeration Date | 08/13/2021
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Last Update Date | 11/05/2024
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Provider Practice Location Address
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Address Line | 36555 26 MILE ROAD STE 1900
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City | LENOX
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State | MI
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Zip | 48048
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Country | US
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Telephone | 586-786-8050
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Fax |
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Provider Business Mailing Address
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Address Line | 26901 BEAUMONT BLVD BLDG D-6
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City | SOUTHFIELD
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State | MI
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Zip | 48033-3849
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Country | US
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Telephone | 947-522-1963
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Fax |
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | MATTHEW E COX
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Credential |
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Telephone | 947-522-3333
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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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