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General NPI Number Information
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NPI Number | 1194757401
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Entity Type | Organization
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Legal Business Name | CHAGRIN SURGERY CENTER, LLC
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Dates
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Enumeration Date | 07/07/2006
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Last Update Date | 07/01/2019
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Provider Practice Location Address
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Address Line | 3755 ORANGE PL STE 102
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City | BEACHWOOD
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State | OH
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Zip | 44122-4455
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Country | US
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Telephone | 216-839-1800
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Fax | 216-839-1762
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Provider Business Mailing Address
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Address Line | 3755 ORANGE PL STE 102
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City | BEACHWOOD
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State | OH
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Zip | 44122-4455
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Country | US
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Telephone | 216-839-1800
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Fax | 216-839-1762
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | SETH J SILBERMAN
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Credential | M.D.
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Telephone | 216-839-1800
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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 | 0739AS
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License Number State | OH
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