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General NPI Number Information
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NPI Number | 1023191822
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Entity Type | Organization
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Legal Business Name | SANTA BARBARA SURGERY CENTER LP
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Dates
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Enumeration Date | 10/23/2006
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Last Update Date | 06/30/2014
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Provider Practice Location Address
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Address Line | 3045 DE LA VINA ST
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City | SANTA BARBARA
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State | CA
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Zip | 93105-3351
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Country | US
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Telephone | 805-569-3226
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Fax |
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Provider Business Mailing Address
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Address Line | 1921 STATE ST SUITE B
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City | SANTA BARBARA
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State | CA
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Zip | 93101-2421
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Country | US
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Telephone | 805-569-2176
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Fax | 805-569-2024
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Authorized Official
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Title or Position | BUSINESS OFFICE MANAGER
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Name | CHRISTI ANN CARLSON
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Credential |
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Telephone | 805-569-2176
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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 | 050000560
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License Number State | CA
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