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General NPI Number Information
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NPI Number | 1386982338
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Entity Type | Organization
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Legal Business Name | AMBULATORY SURGERY CENTER OF NAPA
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Dates
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Enumeration Date | 01/26/2013
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Last Update Date | 10/15/2014
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Provider Practice Location Address
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Address Line | 3301 VILLA LN
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City | NAPA
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State | CA
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Zip | 94558-3087
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Country | US
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Telephone | 707-255-5033
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Fax | 707-255-1554
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Provider Business Mailing Address
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Address Line | 3301 VILLA LN
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City | NAPA
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State | CA
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Zip | 94558-3087
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Country | US
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Telephone | 707-255-5033
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Fax | 707-255-1554
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. JEFFREY D POLITZ
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Credential | DDS
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Telephone | 707-255-5033
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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 | CA
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