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General NPI Number Information
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NPI Number | 1225036601
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Entity Type | Organization
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Legal Business Name | TALLGRASS SURGICAL CENTER, LLC
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Dates
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Enumeration Date | 07/11/2005
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Last Update Date | 06/20/2019
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Provider Practice Location Address
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Address Line | 6001 SW 6TH AVE SUITE 100
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City | TOPEKA
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State | KS
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Zip | 66615-1011
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Country | US
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Telephone | 785-272-8807
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Fax | 785-228-4733
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Provider Business Mailing Address
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Address Line | 6001 SW 6TH AVE SUITE 100
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City | TOPEKA
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State | KS
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Zip | 66615-1011
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Country | US
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Telephone | 785-272-8807
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Fax | 785-228-4733
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Authorized Official
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Title or Position | EVP, GENERAL COUNSEL
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Name | STEPHEN PETROVICH
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Credential |
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Telephone | 615-296-3000
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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 | S089006
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License Number State | KS
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