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General NPI Number Information
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NPI Number | 1144027087
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Entity Type | Organization
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Legal Business Name | DIALYSIS ACCESS SURGERY CENTER, LLC.
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Dates
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Enumeration Date | 02/27/2025
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Last Update Date | 03/11/2025
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Provider Practice Location Address
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Address Line | 5609 DONNYBROOK AVE
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City | TYLER
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State | TX
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Zip | 75703-6111
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Country | US
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Telephone | 903-526-0480
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Fax | 903-526-2514
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Provider Business Mailing Address
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Address Line | 1 PARKWAY NORTH BLVD STE 200S
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City | DEERFIELD
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State | IL
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Zip | 60015-2534
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Country | US
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Telephone | 877-658-6800
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | JASON LOHMEYER
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Credential |
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Telephone | 847-949-3855
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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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