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NPI 1295714962

NPI 1295714962 : SCHULZE SURGERY CENTER, INC. : SAVANNAH, GA

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General NPI Number Information
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    NPI Number           |    1295714962
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    Entity Type          |    Organization 
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    Legal Business Name  |    SCHULZE SURGERY CENTER, INC. 
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Dates
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    Enumeration Date     |    01/11/2006
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    Last Update Date     |    10/07/2011
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Provider Practice Location Address
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    Address Line         |    728 E 67TH ST 
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    City                 |    SAVANNAH
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    State                |    GA
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    Zip                  |    31405-4608
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    Country              |    US
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    Telephone            |    912-352-3120
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    Fax                  |    912-352-1405
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Provider Business Mailing Address
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    Address Line         |    728 E 67TH ST 
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    City                 |    SAVANNAH
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    State                |    GA
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    Zip                  |    31405-4608
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    Country              |    US
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    Telephone            |    912-352-3120
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    Fax                  |    912-352-1405
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Authorized Official
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    Title or Position    |    ADMINISTRATOR
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    Name                 |    MS. CAROLYN Y. PIERCE 
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    Credential           |    
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    Telephone            |    912-352-3120
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QS0132X
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    Taxonomy Name        |    Ophthalmologic Surgery Clinic/Center
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    License Number       |    
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    License Number State |    
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