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General NPI Number Information
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NPI Number | 1063641801
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Entity Type | Organization
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Legal Business Name | PRESBYTERIAN SAMEDAY SURGERY CENTER AT HUNTERSVILLE LLC
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Dates
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Enumeration Date | 07/14/2009
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Last Update Date | 04/01/2013
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Provider Practice Location Address
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Address Line | 10030 GILEAD ROAD
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City | HUNTERSVILLE
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State | NC
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Zip | 28078
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Country | US
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Telephone | 704-316-4010
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Fax | 704-316-6706
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Provider Business Mailing Address
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Address Line | 2085 FRONTIS PLAZA BOULEVARD
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City | WINSTON-SALEM
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State | NC
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Zip | 27103
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Country | US
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Telephone | 336-277-7226
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Fax | 336-277-9795
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Authorized Official
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Title or Position | CFO
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Name | FRED M HARGETT
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Credential |
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Telephone | 704-384-5184
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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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