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General NPI Number Information
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NPI Number | 1366140881
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Entity Type | Organization
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Legal Business Name | SKYLINE SURGERY CENTER LLC
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Dates
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Enumeration Date | 02/23/2023
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Last Update Date | 07/09/2025
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Provider Practice Location Address
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Address Line | 25425 ORCHARD VILLAGE RD STE 280A
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City | VALENCIA
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State | CA
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Zip | 91355-2955
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Country | US
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Telephone | 661-480-2377
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Fax | 661-480-2378
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Provider Business Mailing Address
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Address Line | 25425 ORCHARD VILLAGE RD STE 280A
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City | VALENCIA
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State | CA
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Zip | 91355-2958
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Country | US
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Telephone | 661-753-3262
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Fax | 661-753-3263
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. TYLER ALAN CARSON
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Credential | DO
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Telephone | 661-753-3262
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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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