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General NPI Number Information
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NPI Number | 1194536201
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Entity Type | Organization
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Legal Business Name | MERIDIAN ORTHOPAEDIC SURGERY CENTER, LLC
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Dates
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Enumeration Date | 01/17/2025
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Last Update Date | 01/17/2025
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Provider Practice Location Address
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Address Line | 5002 HIGHWAY 39 N BLDG D
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City | MERIDIAN
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State | MS
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Zip | 39301-1078
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Country | US
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Telephone | 662-328-1012
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Fax |
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Provider Business Mailing Address
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Address Line | 670 LEIGH DR
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City | COLUMBUS
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State | MS
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Zip | 39705-3014
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Country | US
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Telephone | 662-328-1012
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | JAMES LOCKE
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Credential |
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Telephone | 662-328-1012
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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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