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General NPI Number Information
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NPI Number | 1235819533
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Entity Type | Organization
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Legal Business Name | DISTRICT SURGERY CENTER LLC
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Dates
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Enumeration Date | 07/20/2023
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Last Update Date | 07/20/2023
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Provider Practice Location Address
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Address Line | 6720B ROCKLEDGE DR STE 500
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City | BETHESDA
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State | MD
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Zip | 20817-1885
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Country | US
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Telephone | 248-703-3195
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Fax |
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Provider Business Mailing Address
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Address Line | 6720B ROCKLEDGE DR STE 500
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City | BETHESDA
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State | MD
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Zip | 20817-1885
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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 | MARGARITA BARANOVA
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Credential |
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Telephone | 202-702-6895
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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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