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General NPI Number Information
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NPI Number | 1386674091
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Entity Type | Organization
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Legal Business Name | CHESAPEAKE SURGERY CENTER
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Dates
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Enumeration Date | 07/05/2006
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Last Update Date | 10/15/2007
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Provider Practice Location Address
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Address Line | 804 SNOW HILL RD
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City | SALISBURY
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State | MD
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Zip | 21804
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Country | US
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Telephone | 410-548-1104
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Fax | 410-546-8364
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Provider Business Mailing Address
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Address Line | 804 SNOW HILL RD
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City | SALISBURY
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State | MD
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Zip | 21804
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Country | US
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Telephone | 410-548-1104
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Fax | 410-546-8364
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | JOHN A BARTKOVICH
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Credential | MD
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Telephone | 410-548-2600
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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 | A1030
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License Number State | MD
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