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General NPI Number Information
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NPI Number | 1295442259
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Entity Type | Organization
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Legal Business Name | CITYVIEW SURGICAL CENTER
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Dates
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Enumeration Date | 10/31/2022
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Last Update Date | 06/13/2024
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Provider Practice Location Address
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Address Line | 34 S DEAN ST STE 201
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City | ENGLEWOOD
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State | NJ
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Zip | 07631-3515
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Country | US
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Telephone | 551-369-1200
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Fax |
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Provider Business Mailing Address
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Address Line | 18407 PAULDING RD
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City | MONROEVILLE
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State | IN
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Zip | 46773-9630
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Country | US
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Telephone | 260-444-9543
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | MARISSA FREEDMAN
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Credential |
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Telephone | 919-329-2882
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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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