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General NPI Number Information
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NPI Number | 1073489571
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Entity Type | Organization
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Legal Business Name | UNITED SURGERY CENTER MAIN LLC
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Dates
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Enumeration Date | 10/13/2025
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Last Update Date | 10/13/2025
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Provider Practice Location Address
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Address Line | 363 S MAIN ST STE 215
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City | ORANGE
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State | CA
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Zip | 92868-3816
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Country | US
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Telephone | 951-764-9396
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Fax | 951-691-1362
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Provider Business Mailing Address
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Address Line | 25150 HANCOCK AVE STE 208
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City | MURRIETA
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State | CA
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Zip | 92562-5989
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Country | US
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Telephone | 951-764-9396
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Fax | 951-691-1362
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Authorized Official
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Title or Position | DIRECTOR OF BUSINESS OPERATIONS
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Name | KEN JONES
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Credential |
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Telephone | 951-764-9396
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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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