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General NPI Number Information
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NPI Number | 1306952908
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Entity Type | Organization
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Legal Business Name | LAS VENTANAS SURGERY CENTER
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Dates
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Enumeration Date | 08/23/2006
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Last Update Date | 05/19/2021
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Provider Practice Location Address
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Address Line | 15 RYAN CT
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City | MONTEREY
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State | CA
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Zip | 93940-7866
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Country | US
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Telephone | 183-775-0265
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Fax | 831-775-0270
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Provider Business Mailing Address
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Address Line | 15 RYAN CT
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City | MONTEREY
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State | CA
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Zip | 93940-7866
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Country | US
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Telephone | 183-775-0265
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Fax | 831-775-0270
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Authorized Official
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Title or Position | DIRECTOR OF NURSING
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Name | ERICA ANDRADE
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Credential | R.N.
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Telephone | 831-775-0265
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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 | 070000682
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License Number State | CA
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