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General NPI Number Information
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NPI Number | 1295167054
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Entity Type | Organization
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Legal Business Name | SURGICAL CARE EAST, PLLC
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Dates
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Enumeration Date | 08/05/2013
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Last Update Date | 09/15/2022
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Provider Practice Location Address
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Address Line | 250 TOWNSHIP BLVD STE 10
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City | CAMILLUS
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State | NY
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Zip | 13031-1674
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Country | US
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Telephone | 315-928-7060
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Fax | 315-928-7077
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Provider Business Mailing Address
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Address Line | 250 TOWNSHIP BLVD STE 10
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City | CAMILLUS
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State | NY
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Zip | 13031-1674
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Country | US
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Telephone | 315-928-7060
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Fax | 315-928-7077
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Authorized Official
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Title or Position | OWNER
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Name | DENNIS EDWARD RESETARITS
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Credential | M.D.
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Telephone | 315-928-7060
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 155869
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License Number State | NY
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