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General NPI Number Information
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NPI Number | 1104868561
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Entity Type | Organization
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Legal Business Name | REGIONAL SURGERY CENTER, P.C.
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Dates
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Enumeration Date | 06/11/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1531 W 32ND ST SUITE 107
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City | JOPLIN
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State | MO
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Zip | 64804-1611
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Country | US
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Telephone | 417-781-9595
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Fax |
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Provider Business Mailing Address
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Address Line | 1531 W 32ND ST SUITE 107
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City | JOPLIN
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State | MO
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Zip | 64804-1611
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Country | US
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Telephone | 417-781-9595
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOHN A YUHAS
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Credential | M.D.
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Telephone | 417-781-3630
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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 | 39-17
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License Number State | MO
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