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General NPI Number Information
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NPI Number | 1285768903
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Entity Type | Organization
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Legal Business Name | SURGERY CENTER OF RENO, LLC
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Dates
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Enumeration Date | 03/15/2007
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Last Update Date | 01/13/2026
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Provider Practice Location Address
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Address Line | 343 ELM ST SUITE 100
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City | RENO
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State | NV
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Zip | 89503-4504
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Country | US
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Telephone | 775-336-6900
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Fax | 775-336-6910
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Provider Business Mailing Address
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Address Line | 343 ELM ST SUITE 100
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City | RENO
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State | NV
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Zip | 89503-4522
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Country | US
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Telephone | 775-336-6900
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Fax | 775-336-6910
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Authorized Official
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Title or Position | OFFICER / AUTHORIZED OFFICIAL
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Name | ERIC BOON
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Credential |
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Telephone | 480-815-3665
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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 | 461ASC11
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License Number State | NV
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