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General NPI Number Information
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NPI Number | 1306080452
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Entity Type | Organization
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Legal Business Name | SURGERY CENTER OF IRVINE LP
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Dates
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Enumeration Date | 04/20/2009
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Last Update Date | 04/20/2009
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Provider Practice Location Address
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Address Line | 10 POST SUITE B
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City | IRVINE
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State | CA
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Zip | 92618-5223
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Country | US
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Telephone | 310-376-7000
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Fax | 310-802-6268
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Provider Business Mailing Address
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Address Line | 3720 LOMITA BLVD FL 2
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City | TORRANCE
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State | CA
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Zip | 90505-3884
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Country | US
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Telephone | 310-376-7000
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Fax | 310-802-6268
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Authorized Official
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Title or Position | GENERAL PARTNER
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Name | RIFAAT D SALEM
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Credential | M.D.
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Telephone | 310-376-7000
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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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