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General NPI Number Information
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NPI Number | 1134125719
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Entity Type | Organization
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Legal Business Name | SURGICAL CENTER OF YORK, INC
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Dates
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Enumeration Date | 06/28/2005
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Last Update Date | 10/19/2007
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Provider Practice Location Address
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Address Line | 1750 5TH AVE FL 1
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City | YORK
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State | PA
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Zip | 17403-2610
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Country | US
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Telephone | 717-843-7613
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Fax | 717-849-5662
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Provider Business Mailing Address
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Address Line | 1750 5TH AVE FL 1
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City | YORK
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State | PA
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Zip | 17403-2610
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Country | US
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Telephone | 717-843-7613
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Fax | 717-849-5662
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Authorized Official
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Title or Position | ADMINISTRATIVE SERVICES MANAGER
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Name | MS. SUSAN ELEANORE SNYDER
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Credential |
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Telephone | 717-849-5676
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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 | 45681500
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License Number State | PA
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