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General NPI Number Information
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NPI Number | 1093368151
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Entity Type | Organization
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Legal Business Name | DESERT PEAKS SURGERY CENTER LLC
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Dates
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Enumeration Date | 07/18/2019
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Last Update Date | 08/15/2023
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Provider Practice Location Address
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Address Line | 1131 MALL DR STE A
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City | LAS CRUCES
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State | NM
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Zip | 88011-8191
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Country | US
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Telephone | 575-288-4460
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Fax | 575-288-4461
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Provider Business Mailing Address
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Address Line | 63 S ROCKFORD DR STE 220
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City | TEMPE
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State | AZ
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Zip | 85288-6226
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Country | US
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Telephone | 602-598-7025
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Fax |
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | ARTHUR BROOKFIELD
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Credential |
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Telephone | 602-598-7488
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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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