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General NPI Number Information
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NPI Number | 1225064876
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Entity Type | Organization
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Legal Business Name | ROCK HILL SURGERY CENTER, LLC
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Dates
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Enumeration Date | 06/24/2006
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Last Update Date | 10/11/2024
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Provider Practice Location Address
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Address Line | 198 S HERLONG AVE
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City | ROCK HILL
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State | SC
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Zip | 29732-1156
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Country | US
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Telephone | 803-329-1234
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Fax |
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Provider Business Mailing Address
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Address Line | 198 S HERLONG AVE
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City | ROCK HILL
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State | SC
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Zip | 29732-1156
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Country | US
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Telephone | 803-329-1234
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Fax |
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Authorized Official
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Title or Position | SVP OF OUTPATIENT SERVICES, TENET
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Name | COLLIN LEMAISTRE
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Credential |
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Telephone | 214-213-0732
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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 | ASF-028
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License Number State | SC
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