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General NPI Number Information
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NPI Number | 1063382463
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Entity Type | Organization
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Legal Business Name | PREMIER AMBULATORY SURGERY CENTER, LLC
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Dates
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Enumeration Date | 11/10/2025
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Last Update Date | 11/10/2025
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Provider Practice Location Address
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Address Line | 3333 N MAIN ST
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City | HOPE MILLS
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State | NC
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Zip | 28348-1897
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Country | US
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Telephone | 910-485-3937
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Fax | 910-221-3671
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Provider Business Mailing Address
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Address Line | 2047 VALLEYGATE DR
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City | FAYETTEVILLE
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State | NC
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Zip | 28304-3688
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Country | US
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Telephone | 910-221-3670
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Fax | 910-221-3671
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Authorized Official
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Title or Position | CEO
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Name | MICHAEL WOODCOCK
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Credential | MD
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Telephone | 910-221-3670
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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