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General NPI Number Information
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NPI Number | 1245679737
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Entity Type | Organization
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Legal Business Name | HB SURGERY CENTER, INC.
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Dates
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Enumeration Date | 06/18/2013
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Last Update Date | 01/25/2022
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Provider Practice Location Address
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Address Line | 1601 PACIFIC COAST HWY SUITE 150
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City | HERMOSA BEACH
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State | CA
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Zip | 90254-3213
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Country | US
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Telephone | 215-518-3385
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Fax |
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Provider Business Mailing Address
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Address Line | 1601 PACIFIC COAST HWY SUITE 150
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City | HERMOSA BEACH
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State | CA
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Zip | 90254-3213
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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 | OWNER
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Name | BRENDAN BAKIR
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Credential | CEO
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Telephone | 800-399-4399
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number | A107345
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License Number State | CA
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