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General NPI Number Information
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NPI Number | 1326256058
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Entity Type | Organization
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Legal Business Name | MONTEREY PENINSULA SURGERY CENTERS, LLC
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Dates
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Enumeration Date | 05/18/2007
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Last Update Date | 12/11/2025
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Provider Practice Location Address
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Address Line | 2 UPPER RAGSDALE DRIVE, BUILDING B, SUITE 160
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City | MONTEREY
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State | CA
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Zip | 93940-5736
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Country | US
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Telephone | 831-372-2169
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Fax |
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Provider Business Mailing Address
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Address Line | 2 UPPER RAGSDALE DRIVE, BUILDING B, SUITE 160
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City | MONTEREY
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State | CA
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Zip | 93940-5736
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Country | US
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Telephone | 831-372-2169
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. CARRIE MILLSAP
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Credential | RN
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Telephone | 831-372-2169
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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 | 070000398
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License Number State | CA
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