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General NPI Number Information
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NPI Number | 1306371042
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Entity Type | Organization
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Legal Business Name | PARKWAY AMBULATORY SURGERY CENTER LLC
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Dates
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Enumeration Date | 05/01/2017
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Last Update Date | 01/14/2020
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Provider Practice Location Address
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Address Line | 70 RIDGE RD 2 ND FLOOR
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City | LYNDHURST
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State | NJ
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Zip | 07071-1216
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Country | US
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Telephone | 973-619-2638
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Fax |
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Provider Business Mailing Address
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Address Line | 70 RIDGE RD 2 ND FLOOR
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City | LYNDHURST
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State | NJ
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Zip | 07071-1216
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Country | US
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Telephone | 201-504-1400
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. SAAD WAQAS
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Credential |
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Telephone | 201-504-1400
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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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