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General NPI Number Information
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NPI Number | 1063453561
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Entity Type | Organization
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Legal Business Name | TEMPLETON SURGERY CENTER, LLC
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Dates
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Enumeration Date | 06/08/2006
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Last Update Date | 06/28/2011
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Provider Practice Location Address
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Address Line | 1310 LAS TABLAS ROAD SUITE 104
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City | TEMPLETON
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State | CA
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Zip | 93465-9746
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Country | US
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Telephone | 805-434-3550
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Fax | 805-434-3595
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Provider Business Mailing Address
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Address Line | 1310 LAS TABLAS ROAD SUITE 104
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City | TEMPLETON
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State | CA
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Zip | 93465-9746
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Country | US
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Telephone | 805-434-3550
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Fax | 805-434-3595
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Authorized Official
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Title or Position | BUSINESS OFFICE MANAGER
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Name | MS. SUSAN VINEYARD
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Credential |
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Telephone | 805-434-3550
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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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