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General NPI Number Information
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NPI Number | 1013914316
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Entity Type | Organization
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Legal Business Name | BURLINGAME SURGICAL CENTER, PA
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Dates
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Enumeration Date | 06/30/2005
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Last Update Date | 03/30/2010
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Provider Practice Location Address
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Address Line | 1325 N TRAVIS ST
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City | SHERMAN
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State | TX
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Zip | 75092-5138
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Country | US
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Telephone | 903-892-3282
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Fax | 903-892-8591
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Provider Business Mailing Address
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Address Line | 1303 N TRAVIS ST
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City | SHERMAN
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State | TX
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Zip | 75092-5138
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Country | US
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Telephone | 903-892-3282
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Fax | 903-892-8591
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Authorized Official
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Title or Position | ADM/CLINICAL DIRECTOR
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Name | CLAIRE BRICE
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Credential | RN
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Telephone | 903-892-3282
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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 | 007160
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License Number State | TX
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