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General NPI Number Information
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NPI Number | 1205221470
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Entity Type | Organization
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Legal Business Name | NEWSOM SURGERY CENTER OF SEBRING LLC
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Dates
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Enumeration Date | 04/03/2015
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Last Update Date | 01/09/2024
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Provider Practice Location Address
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Address Line | 4211 US HWY 27 N
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City | SEBRING
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State | FL
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Zip | 33870
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Country | US
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Telephone | 863-455-1100
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Fax | 863-614-1495
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Provider Business Mailing Address
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Address Line | 4211 US HIGHWAY 27 N
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City | SEBRING
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State | FL
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Zip | 33870
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Country | US
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Telephone | 863-455-1100
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Fax | 863-614-1495
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Authorized Official
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Title or Position | OWNER
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Name | DR. THOMAS HUNTER NEWSOM
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Credential | MD
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Telephone | 863-455-1100
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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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