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General NPI Number Information
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NPI Number | 1225439250
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Entity Type | Organization
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Legal Business Name | ADVANCED SURGERY CENTER OF SAN ANTONIO, LLC
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Dates
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Enumeration Date | 09/09/2014
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Last Update Date | 11/17/2020
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Provider Practice Location Address
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Address Line | 18414 US HIGHWAY 281 N 114
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City | SAN ANTONIO
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State | TX
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Zip | 78259-7610
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Country | US
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Telephone | 830-556-6134
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Fax |
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Provider Business Mailing Address
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Address Line | 18414 US HIGHWAY 281 N 114
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City | SAN ANTONIO
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State | TX
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Zip | 78259-7610
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | LAURA MCGARITY
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Credential |
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Telephone | 210-455-4150
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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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