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General NPI Number Information
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NPI Number | 1154624526
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Entity Type | Organization
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Legal Business Name | THE AMBULATORY SURGERY CENTER AT ST. MARY, LLC
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Dates
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Enumeration Date | 12/07/2010
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Last Update Date | 12/07/2010
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Provider Practice Location Address
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Address Line | 1203 LANGHORNE NEWTOWN RD
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City | LANGHORNE
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State | PA
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Zip | 19047-1209
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Country | US
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Telephone | 215-710-7028
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Fax |
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Provider Business Mailing Address
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Address Line | 1203 LANGHORNE NEWTOWN RD
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City | LANGHORNE
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State | PA
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Zip | 19047-1209
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Country | US
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Telephone | 215-710-7028
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Fax |
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Authorized Official
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Title or Position | BOARD MEMBER
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Name | MARK NESSEL
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Credential |
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Telephone | 215-710-7028
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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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