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General NPI Number Information
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NPI Number | 1245657840
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Entity Type | Organization
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Legal Business Name | SURGCENTER OF PLANO LLC
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Dates
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Enumeration Date | 03/21/2014
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Last Update Date | 01/14/2025
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Provider Practice Location Address
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Address Line | 6101 WINDHAVEN PARKWAY SUITE 195
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City | PLANO
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State | TX
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Zip | 75093-8271
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Country | US
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Telephone | 469-209-7054
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Fax |
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Provider Business Mailing Address
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Address Line | 6101 WINDHAVEN PARKWAY SUITE 195
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City | PLANO
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State | TX
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Zip | 75093-8271
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Country | US
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Telephone | 469-209-7054
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Fax |
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Authorized Official
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Title or Position | OFFICER/AUTHORIZED OFFICIAL
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Name | DONITA FLEMING
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Credential |
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Telephone | 202-815-3665
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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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