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General NPI Number Information
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NPI Number | 1366536880
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Entity Type | Organization
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Legal Business Name | SOUTHWEST WASHINGTON REGIONAL SURGERY CENTER, LLC
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Dates
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Enumeration Date | 10/02/2006
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Last Update Date | 10/08/2012
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Provider Practice Location Address
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Address Line | 200 NE MOTHER JOSEPH PLACE SUITE 200
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City | VANCOUVER
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State | WA
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Zip | 98664-3294
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Country | US
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Telephone | 360-449-6300
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Fax | 360-449-6370
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Provider Business Mailing Address
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Address Line | 200 NE MOTHER JOSEPH PLACE SUITE 200
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City | VANCOUVER
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State | WA
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Zip | 98664-3294
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Country | US
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Telephone | 360-449-6300
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Fax | 360-449-6370
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Authorized Official
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Title or Position | BUSINESS OFFICE MANAGER
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Name | MS. PATRICIA ANN TROWBRIDGE
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Credential |
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Telephone | 360-449-6309
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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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