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General NPI Number Information
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NPI Number | 1245798826
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Entity Type | Organization
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Legal Business Name | SURGCENTER OF GREATER DALLAS, LLC.
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Dates
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Enumeration Date | 03/04/2019
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Last Update Date | 01/26/2026
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Provider Practice Location Address
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Address Line | 11411 E NORTHWEST HWY STE 220
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City | DALLAS
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State | TX
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Zip | 75218-1437
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Country | US
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Telephone | 469-563-8932
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Fax |
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Provider Business Mailing Address
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Address Line | 11411 E NORTHWEST HWY STE 220
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City | DALLAS
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State | TX
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Zip | 75218-1437
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Country | US
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Telephone | 469-214-4344
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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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