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General NPI Number Information
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NPI Number | 1205235256
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Entity Type | Organization
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Legal Business Name | AMERICAN AMBULATORY SURGICAL CENTER INC.
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Dates
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Enumeration Date | 08/15/2014
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Last Update Date | 02/15/2018
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Provider Practice Location Address
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Address Line | 680 KINDERKAMACK RD SUITE 100
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City | ORADELL
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State | NJ
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Zip | 07649-1600
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Country | US
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Telephone | 201-367-2273
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Fax | 201-367-2007
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Provider Business Mailing Address
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Address Line | 680 KINDERKAMACK RD SUITE 100
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City | ORADELL
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State | NJ
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Zip | 07649-1600
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Country | US
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Telephone | 201-367-2273
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Fax | 201-367-2007
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | MR. DAVID RAGHUNANDAN
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Credential |
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Telephone | 201-367-2273
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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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