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General NPI Number Information
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NPI Number | 1306369566
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Entity Type | Organization
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Legal Business Name | NOVA SURGERY CENTER, LLC
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Dates
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Enumeration Date | 07/19/2017
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Last Update Date | 03/17/2020
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Provider Practice Location Address
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Address Line | 8331 WESTMINSTER BLVD STE B
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City | WESTMINSTER
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State | CA
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Zip | 92683
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Country | US
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Telephone | 714-248-9477
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Fax | 714-908-8186
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Provider Business Mailing Address
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Address Line | 8331 WESTMINSTER BLVD STE B
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City | WESTMINSTER
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State | CA
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Zip | 92683-3398
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | ARIANE WINANS
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Credential |
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Telephone | 714-248-9477
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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Taxonomy #2
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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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