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General NPI Number Information
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NPI Number | 1063659605
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Entity Type | Organization
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Legal Business Name | HOWARD COMMUNITY SURGERY CENTER LLC
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Dates
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Enumeration Date | 01/20/2009
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Last Update Date | 01/20/2009
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Provider Practice Location Address
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Address Line | 3503 S REED RD
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City | KOKOMO
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State | IN
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Zip | 46902-3838
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Country | US
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Telephone | 765-864-5900
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Fax | 765-864-5979
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Provider Business Mailing Address
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Address Line | 3503 S REED RD
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City | KOKOMO
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State | IN
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Zip | 46902-3838
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Country | US
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Telephone | 765-864-5900
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Fax | 765-864-5979
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MRS. SHERYL GOSNELL
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Credential |
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Telephone | 765-864-5900
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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 | 080027811
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License Number State | IN
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