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General NPI Number Information
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NPI Number | 1346998655
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Entity Type | Organization
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Legal Business Name | SAWTOOTH OAK AMBULATORY SURGERY CENTER, LLC
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Dates
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Enumeration Date | 03/15/2022
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Last Update Date | 05/21/2025
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Provider Practice Location Address
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Address Line | 148 SAWTOOTH OAK ST
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City | HOT SPRINGS
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State | AR
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Zip | 71901-7160
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Country | US
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Telephone | 844-215-0731
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Fax | 501-404-7789
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Provider Business Mailing Address
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Address Line | 148 SAWTOOTH OAK ST
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City | HOT SPRINGS
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State | AR
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Zip | 71901-7160
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Country | US
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Telephone | 844-215-4731
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Fax | 888-630-8885
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Authorized Official
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Title or Position | DIRECTOR
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Name | MITCHELL BOLDING
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Credential |
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Telephone | 501-624-7700
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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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