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General NPI Number Information
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NPI Number | 1184801565
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Entity Type | Organization
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Legal Business Name | MEBANE ASC INVESTORS LLC
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Dates
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Enumeration Date | 01/28/2008
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Last Update Date | 01/28/2008
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Provider Practice Location Address
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Address Line | 3940 ARROWHEAD BLVD
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City | MEBANE
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State | NC
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Zip | 27302
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Country | US
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Telephone | 919-943-0120
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Fax | 336-586-3592
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Provider Business Mailing Address
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Address Line | PO BOX 1010
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City | MEBANE
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State | NC
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Zip | 27302-1010
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Country | US
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Telephone | 919-943-0120
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Fax | 336-586-3592
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | VALERIE V BRICKEY
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Credential |
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Telephone | 919-943-0120
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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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