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General NPI Number Information
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NPI Number | 1295831188
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Entity Type | Organization
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Legal Business Name | ORTHOPEDIC ASSOCIATES AMBULATORY SURGERY CENTER, INC.
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Dates
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Enumeration Date | 09/16/2006
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Last Update Date | 02/11/2015
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Provider Practice Location Address
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Address Line | 3301 NW 50TH ST
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City | OKLAHOMA CITY
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State | OK
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Zip | 73112-5627
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Country | US
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Telephone | 405-947-5610
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Fax | 405-948-5166
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Provider Business Mailing Address
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Address Line | 3301 NW 50TH ST
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City | OKLAHOMA CITY
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State | OK
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Zip | 73112-5627
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Country | US
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Telephone | 405-947-5610
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Fax | 405-948-5166
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Authorized Official
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Title or Position | SURGERY CENTER DIRECTOR
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Name | CAROLYN MOLES
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Credential |
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Telephone | 405-947-5610
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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 | 0024
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License Number State | OK
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