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General NPI Number Information
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NPI Number | 1083711568
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Entity Type | Organization
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Legal Business Name | NATRAJ SURGERY CENTER INC.
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Dates
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Enumeration Date | 09/19/2006
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Last Update Date | 01/04/2013
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Provider Practice Location Address
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Address Line | 555 WEST PUTNAM AVE
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City | PORTERVILLE
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State | CA
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Zip | 93257
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Country | US
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Telephone | 559-788-0505
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Fax |
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Provider Business Mailing Address
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Address Line | 555 WEST PUTNAM AVE
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City | PORTERVILLE
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State | CA
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Zip | 93257
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | ASC SUPERVISOR
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Name | MRS. JYOTSANA PANDYA
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Credential |
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Telephone | 559-788-0505
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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 | 550000077
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License Number State | CA
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