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General NPI Number Information
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NPI Number | 1255413662
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Entity Type | Organization
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Legal Business Name | NATIONS SURGERY CENTERS LP
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Dates
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Enumeration Date | 10/19/2006
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Last Update Date | 11/09/2007
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Provider Practice Location Address
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Address Line | 5353 BALBOA BLVD 3RD FLOOR
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City | ENCINO
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State | CA
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Zip | 91316-2804
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Country | US
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Telephone | 818-793-2050
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Fax | 818-793-2059
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Provider Business Mailing Address
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Address Line | 5353 BALBOA BLVD 3RD FLOOR
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City | ENCINO
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State | CA
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Zip | 91316-2804
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Country | US
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Telephone | 818-793-2050
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Fax | 818-793-2059
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Authorized Official
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Title or Position | CONTRACTING MANAGER
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Name | BEN SANDS
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Credential |
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Telephone | 702-949-7825
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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 | CA
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