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General NPI Number Information
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NPI Number | 1265519821
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Entity Type | Organization
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Legal Business Name | SEVEN HILLS SURGERY CENTER LLC
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 09/11/2014
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Provider Practice Location Address
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Address Line | 876 SEVEN HILLS DR
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City | HENDERSON
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State | NV
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Zip | 89052-4369
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Country | US
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Telephone | 702-914-2028
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Fax | 702-914-6290
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Provider Business Mailing Address
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Address Line | 876 SEVEN HILLS DR
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City | HENDERSON
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State | NV
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Zip | 89052-4369
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Country | US
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Telephone | 702-914-2028
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Fax | 702-914-6290
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Authorized Official
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Title or Position | DIRECTOR OF BOARD/MANAGING PARTNER
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Name | DR. RUDY MANTHEI
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Credential | DO
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Telephone | 702-589-4904
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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 | 3496ASC-0
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License Number State | NV
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