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General NPI Number Information
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NPI Number | 1184682445
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Entity Type | Organization
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Legal Business Name | PORTSMOUTH SURGERY CENTER
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Dates
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Enumeration Date | 05/03/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1400 GAY STREET
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City | PORTSMOUTH
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State | OH
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Zip | 45662-3475
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Country | US
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Telephone | 800-948-3937
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Fax | 740-351-0989
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Provider Business Mailing Address
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Address Line | PO BOX 463
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City | CIRCLEVILLE
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State | OH
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Zip | 43113-1498
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Country | US
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Telephone | 800-948-3937
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Fax | 740-477-8349
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Authorized Official
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Title or Position | CENTER DIRECTOR
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Name | TERRY SCHULTZ
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Credential | OD
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Telephone | 800-948-3937
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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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