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General NPI Number Information
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NPI Number | 1043071939
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Entity Type | Organization
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Legal Business Name | RIVER LANDING SURGERY CENTER, LLC
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Dates
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Enumeration Date | 01/18/2024
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Last Update Date | 01/22/2024
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Provider Practice Location Address
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Address Line | 3330 S RIO GRANDE AVE STE 110
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City | MONTROSE
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State | CO
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Zip | 81401
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Country | US
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Telephone | 970-497-5979
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Fax |
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Provider Business Mailing Address
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Address Line | 3330 S RIO GRANDE AVE STE 110
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City | MONTROSE
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State | CO
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Zip | 81401
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Country | US
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Telephone | 970-497-5979
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Fax |
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Authorized Official
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Title or Position | ANAYLST
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Name | MEGAN BEAVER
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Credential |
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Telephone | 970-252-2691
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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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