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General NPI Number Information
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NPI Number | 1255354486
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Entity Type | Organization
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Legal Business Name | SIMI SURGERY CENTER INC.
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Dates
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Enumeration Date | 07/26/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1920 E. LOS ANGELES AVE.
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City | SIMI VALLEY
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State | CA
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Zip | 93065-3505
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Country | US
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Telephone | 805-306-8800
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Fax | 805-306-8809
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Provider Business Mailing Address
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Address Line | 1920 E. LOS ANGELES AVE.
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City | SIMI VALLEY
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State | CA
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Zip | 93065-3505
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Country | US
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Telephone | 805-306-8800
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Fax | 805-306-8809
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Authorized Official
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Title or Position | NURSE MANAGER
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Name | MS. CINDY K. BOYLE
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Credential | RN CNOR
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Telephone | 805-306-8800
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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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