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General NPI Number Information
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NPI Number | 1386085108
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Entity Type | Organization
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Legal Business Name | LEXINGTON SURGICAL ASSOCIATES INC
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Dates
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Enumeration Date | 07/09/2013
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Last Update Date | 07/09/2013
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Provider Practice Location Address
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Address Line | 620 HOWARD AVE SUITE 7F
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City | ALTOONA
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State | PA
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Zip | 16601-4804
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Country | US
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Telephone | 814-889-2328
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Fax | 814-889-7724
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Provider Business Mailing Address
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Address Line | 620 HOWARD AVE SUITE 3F
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City | ALTOONA
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State | PA
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Zip | 16601-4804
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Country | US
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Telephone | 814-889-7500
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Fax | 814-889-7499
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | MICHELE FOX
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Credential |
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Telephone | 814-889-7707
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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