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General NPI Number Information
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NPI Number | 1144219908
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Entity Type | Organization
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Legal Business Name | HSC SURGICAL ASSOCIATES OF CINCINNATI, LLC
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Dates
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Enumeration Date | 10/14/2005
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Last Update Date | 08/14/2013
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Provider Practice Location Address
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Address Line | 2925 VERNON PL SUITE 101
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City | CINCINNATI
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State | OH
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Zip | 45219-2425
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Country | US
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Telephone | 513-872-4538
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Fax | 513-872-7625
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Provider Business Mailing Address
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Address Line | 2925 VERNON PL SUITE 101
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City | CINCINNATI
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State | OH
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Zip | 45219-2425
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Country | US
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Telephone | 513-872-4538
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Fax | 513-872-7625
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Authorized Official
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Title or Position | PHYSICIAN PARTNER
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Name | DR. ALAN V. SAFDI
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Credential | MD
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Telephone | 513-751-6667
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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 | 0032AS
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License Number State | OH
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