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General NPI Number Information
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NPI Number | 1063416998
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Entity Type | Organization
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Legal Business Name | WILMINGTON SURGERY CENTER, LP
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Dates
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Enumeration Date | 06/09/2005
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Last Update Date | 07/24/2025
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Provider Practice Location Address
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Address Line | 1801 S 17TH ST
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City | WILMINGTON
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State | NC
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Zip | 28401-6443
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Country | US
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Telephone | 910-763-4555
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Fax | 910-343-4922
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Provider Business Mailing Address
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Address Line | 1801 S 17TH ST
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City | WILMINGTON
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State | NC
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Zip | 28401-6443
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Country | US
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Telephone | 910-763-4555
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Fax | 910-343-4922
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Authorized Official
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Title or Position | VP ASC OPERATIONS
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Name | ANDREA SMITH-JONES
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Credential |
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Telephone | 704-907-3705
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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 | AS0055
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License Number State | NC
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