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General NPI Number Information
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NPI Number | 1033458443
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Entity Type | Organization
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Legal Business Name | OPST - THE SURGERY CENTER, LLC
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Dates
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Enumeration Date | 02/05/2013
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Last Update Date | 02/05/2013
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Provider Practice Location Address
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Address Line | 7500 SAN FELIPE ST SUITE 200
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City | HOUSTON
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State | TX
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Zip | 77063-1707
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Country | US
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Telephone | 713-953-9932
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Fax | 713-953-0380
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Provider Business Mailing Address
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Address Line | 7500 SAN FELIPE ST SUITE 200
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City | HOUSTON
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State | TX
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Zip | 77063-1707
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Country | US
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Telephone | 713-953-9932
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Fax | 713-953-0380
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Authorized Official
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Title or Position | OWNER
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Name | MARC N. LONGO
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Credential | M.D.
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Telephone | 713-953-9932
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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 | TX
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