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General NPI Number Information
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NPI Number | 1043526353
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Entity Type | Organization
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Legal Business Name | NEW ENGLAND SURGERY CENTER LLC
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Dates
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Enumeration Date | 08/24/2010
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Last Update Date | 05/19/2017
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Provider Practice Location Address
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Address Line | 900 CUMMINGS CTR STE 122U
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City | BEVERLY
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State | MA
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Zip | 01915-6198
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Country | US
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Telephone | 978-922-4670
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Fax | 978-922-4695
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Provider Business Mailing Address
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Address Line | 900 CUMMINGS CTR STE 122U
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City | BEVERLY
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State | MA
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Zip | 01915-6198
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Country | US
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Telephone | 978-922-4670
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Fax | 978-922-4695
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Authorized Official
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Title or Position | OWNER
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Name | MICHAEL ZACHAREAS
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Credential | MD
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Telephone | 978-232-9400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | AJ3M
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License Number State | MA
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