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General NPI Number Information
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NPI Number | 1326358326
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Entity Type | Organization
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Legal Business Name | ADVANCED AMBULATORY SURGERY CENTER LLC
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Dates
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Enumeration Date | 10/12/2010
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Last Update Date | 10/12/2010
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Provider Practice Location Address
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Address Line | 652 PALM SPRINGS DR
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32701-7838
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Country | US
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Telephone | 386-785-3329
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Fax |
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Provider Business Mailing Address
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Address Line | 652 PALM SPRINGS DR
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32701-7838
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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 | CHIEF FINANCIAL OFFICER
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Name | BRIAN FRIEDBERG
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Credential |
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Telephone | 407-489-8393
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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 | 1056
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License Number State | FL
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