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General NPI Number Information
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NPI Number | 1285872945
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Entity Type | Organization
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Legal Business Name | MONTEREY PENINSULA SURGERY CENTER LLC
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Dates
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Enumeration Date | 02/03/2009
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Last Update Date | 12/31/2025
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Provider Practice Location Address
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Address Line | 665 MUNRAS AVENUE, SUITE 100 SUITE 100
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City | MONTEREY
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State | CA
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Zip | 93940
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Country | US
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Telephone | 831-372-2169
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Fax |
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Provider Business Mailing Address
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Address Line | 9699 BLUE LARKSPUR LN STE 202
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City | MONTEREY
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State | CA
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Zip | 93940-6552
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Country | US
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Telephone | 831-372-2169
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MS. CARRIE MILLSAP
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Credential | BSN
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Telephone | 831-372-2169
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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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