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General NPI Number Information
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NPI Number | 1225847163
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Entity Type | Organization
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Legal Business Name | SURGERY CENTER OF LINWOOD LLC
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Dates
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Enumeration Date | 01/06/2025
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Last Update Date | 12/01/2025
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Provider Practice Location Address
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Address Line | 1801 NEW RD STE D
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City | LINWOOD
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State | NJ
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Zip | 08221-1036
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Country | US
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Telephone | 609-244-0722
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Fax | 609-244-0836
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Provider Business Mailing Address
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Address Line | 2500 MORRIS AVE STE 220
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City | UNION
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State | NJ
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Zip | 07083-5675
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Country | US
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Telephone | 732-906-9600
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Fax | 908-666-6476
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Authorized Official
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Title or Position | MEMBER
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Name | WILLIAM VANDERVEER
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Credential |
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Telephone | 609-653-3055
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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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