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NPI 1215967351

NPI 1215967351 : FRIENDSHIP AMBULATORY SURGERY CENTER, LLC : CHEVY CHASE, MD

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General NPI Number Information
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    NPI Number           |    1215967351
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    Entity Type          |    Organization 
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    Legal Business Name  |    FRIENDSHIP AMBULATORY SURGERY CENTER, LLC 
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Dates
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    Enumeration Date     |    07/04/2006
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    Last Update Date     |    10/08/2025
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Provider Practice Location Address
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    Address Line         |    5550 FRIENDSHIP BLVD STE 270 
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    City                 |    CHEVY CHASE
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    State                |    MD
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    Zip                  |    20815-7297
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    Country              |    US
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    Telephone            |    301-215-7347
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    Fax                  |    301-715-7345
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Provider Business Mailing Address
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    Address Line         |    5550 FRIENDSHIP BLVD STE 270 
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    City                 |    CHEVY CHASE
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    State                |    MD
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    Zip                  |    20815-7297
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    Country              |    US
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    Telephone            |    301-215-7347
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    Fax                  |    301-715-7345
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Authorized Official
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    Title or Position    |    PRESIDENT AND CEO
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    Name                 |     STEVEN  MADREPERLA 
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    Credential           |    MD, PHD
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    Telephone            |    908-458-8333
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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       |    A1131
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    License Number State |    MD
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