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General NPI Number Information
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NPI Number | 1275536328
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Entity Type | Organization
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Legal Business Name | BELLAIRE OUTPATIENT SURGERY CENTER, LLP
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Dates
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Enumeration Date | 05/23/2005
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Last Update Date | 10/04/2024
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Provider Practice Location Address
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Address Line | 7200 OAKMONT BOULEVARD
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City | FORT WORTH
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State | TX
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Zip | 76132-3902
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Country | US
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Telephone | 817-732-3300
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Fax | 817-732-0110
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Provider Business Mailing Address
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Address Line | 7200 OAKMONT BOULEVARD
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City | FORT WORTH
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State | TX
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Zip | 76132-3902
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Country | US
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Telephone | 817-732-3300
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Fax | 817-732-0110
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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 | 202-381-3665
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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 | 007890
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License Number State | TX
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