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General NPI Number Information
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NPI Number | 1023189453
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Entity Type | Organization
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Legal Business Name | MEADOW LANE SURGERY CENTER
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Dates
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Enumeration Date | 11/09/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 5652 MEADOW LANE SUITE A
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City | NEW PORT RICHEY
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State | FL
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Zip | 34652
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Country | US
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Telephone | 727-847-7522
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Fax | 727-845-8912
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Provider Business Mailing Address
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Address Line | PO BOX 1090
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City | NEW PORT RICHEY
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State | FL
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Zip | 34656
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Country | US
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Telephone | 727-847-7522
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Fax | 727-845-8912
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Authorized Official
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Title or Position | CEO MEDICAL DIRECTOR
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Name | DR. STANLEY D CHOVNICK
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Credential | MD
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Telephone | 727-847-7522
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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 | 1024
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License Number State | FL
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