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General NPI Number Information
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NPI Number | 1053726943
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Entity Type | Organization
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Legal Business Name | HB SURGERY CENTER, INC
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Dates
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Enumeration Date | 06/30/2014
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Last Update Date | 01/25/2022
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Provider Practice Location Address
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Address Line | 1601 PACIFIC COAST HWY STE 150
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City | HERMOSA BEACH
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State | CA
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Zip | 90254-3213
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Country | US
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Telephone | 310-402-2255
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Fax | 310-376-1391
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Provider Business Mailing Address
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Address Line | 1601 PACIFIC COAST HWY STE 150
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City | HERMOSA BEACH
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State | CA
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Zip | 90254-3213
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Country | US
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Telephone | 310-571-9922
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Fax | 310-861-5001
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Authorized Official
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Title or Position | DON
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Name | CYNTHIA PRINCE
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Credential | RN
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Telephone | 310-571-9922
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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 | A107345
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License Number State | CA
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