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General NPI Number Information
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NPI Number | 1235427469
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Entity Type | Organization
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Legal Business Name | SUNRISE SURGERY CENTER, INC
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Dates
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Enumeration Date | 07/21/2011
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Last Update Date | 07/21/2011
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Provider Practice Location Address
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Address Line | 8342 GARDEN GROVE BLVD STE 10
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City | GARDEN GROVE
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State | CA
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Zip | 92844-1192
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Country | US
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Telephone | 714-726-1533
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Fax |
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Provider Business Mailing Address
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Address Line | 8342 GARDEN GROVE BLVD STE 10
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City | GARDEN GROVE
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State | CA
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Zip | 92844-1192
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Country | US
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Telephone | 714-726-1533
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | DR. ARTIS WOODWARD
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Credential | M.D.
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Telephone | 714-726-1533
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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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