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General NPI Number Information
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NPI Number | 1386890606
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Entity Type | Organization
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Legal Business Name | CENTER FOR SURGICAL INTERVENTION LLC
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Dates
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Enumeration Date | 08/18/2008
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Last Update Date | 12/03/2012
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Provider Practice Location Address
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Address Line | 5950 S. DURANGO DR.
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City | LAS VEGAS
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State | NV
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Zip | 89113
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Country | US
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Telephone | 702-562-3039
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Fax | 702-562-6928
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Provider Business Mailing Address
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Address Line | 9811 W. CHARLESTON SUITE #2-389
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City | LAS VEGAS
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State | NV
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Zip | 89117
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Country | US
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Telephone | 702-562-3039
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Fax | 702-562-6928
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. BRIAN A LEMPER
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Credential | D.O.
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Telephone | 702-562-3039
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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 | 5447ASC-0
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License Number State | NV
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