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General NPI Number Information
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NPI Number | 1073759791
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Entity Type | Organization
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Legal Business Name | ALTMONTE OUTPATIENT SURGERY CENTER, LLC
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Dates
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Enumeration Date | 12/30/2008
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Last Update Date | 08/10/2009
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Provider Practice Location Address
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Address Line | 652 PALM SPRINGS DR
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32701-7841
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Country | US
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Telephone | 321-303-9510
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Fax | 321-303-9510
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Provider Business Mailing Address
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Address Line | 652 PALM SPRINGS DR
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32701-7841
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Country | US
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Telephone | 407-834-1800
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Fax | 407-834-1840
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. BELINDA STRATTON
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Credential |
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Telephone | 321-303-9510
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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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