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General NPI Number Information
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NPI Number | 1033560420
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Entity Type | Organization
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Legal Business Name | ABINGDON SURGICAL CENTER PC
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Dates
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Enumeration Date | 06/27/2016
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Last Update Date | 12/30/2016
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Provider Practice Location Address
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Address Line | 3401 BOX HILL CORPORATE CENTER DR SUITE 204
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City | ABINGDON
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State | MD
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Zip | 21009-1200
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Country | US
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Telephone | 410-569-0445
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Fax | 410-569-0446
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Provider Business Mailing Address
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Address Line | 3401 BOX HILL CORPORATE CENTER DR SUITE 201
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City | ABINGDON
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State | MD
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Zip | 21009-1200
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Country | US
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Telephone | 410-569-0445
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Fax | 410-569-0446
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Authorized Official
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Title or Position | PODIATRIST/OWNER
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Name | MICHAEL KEVIN BLOCK
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Credential | DPM
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Telephone | 410-569-0445
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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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