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General NPI Number Information
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NPI Number | 1366884322
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Entity Type | Organization
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Legal Business Name | INNOVATIONS SURGERY CENTER, PC
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Dates
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Enumeration Date | 07/19/2013
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Last Update Date | 11/20/2025
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Provider Practice Location Address
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Address Line | 3206 TOWER OAKS BLVD SUITE 100
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City | ROCKVILLE
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State | MD
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Zip | 20852-4254
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Country | US
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Telephone | 240-669-3134
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Fax |
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Provider Business Mailing Address
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Address Line | 3206 TOWER OAKS BLVD STE 100
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City | ROCKVILLE
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State | MD
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Zip | 20852-4255
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Country | US
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Telephone | 240-669-3134
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Fax |
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Authorized Official
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Title or Position | GENERAL COUNSEL
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Name | EVAN CHARLES HAMMERMAN
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Credential |
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Telephone | 240-833-3620
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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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