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General NPI Number Information
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NPI Number | 1356646525
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Entity Type | Organization
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Legal Business Name | TAUFEEQ SURGERY CENTER
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Dates
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Enumeration Date | 01/20/2011
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Last Update Date | 01/20/2011
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Provider Practice Location Address
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Address Line | 27991 CENTER RIDGE RD
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City | WESTLAKE
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State | OH
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Zip | 44145-3902
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Country | US
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Telephone | 440-250-0696
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Fax | 440-250-1857
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Provider Business Mailing Address
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Address Line | 27991 CENTER RIDGE RD
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City | WESTLAKE
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State | OH
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Zip | 44145-0006
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Country | US
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Telephone | 440-250-0696
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Fax | 440-250-1857
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Authorized Official
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Title or Position | MANAGER
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Name | ABDULLA BASHIR TAUFEEQ
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Credential |
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Telephone | 440-250-0696
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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 | 35.063157
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License Number State | OH
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