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General NPI Number Information
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NPI Number | 1396442067
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Entity Type | Organization
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Legal Business Name | NSPC SURGERY CENTER OF TEXAS LLC
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Dates
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Enumeration Date | 02/13/2023
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Last Update Date | 05/10/2023
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Provider Practice Location Address
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Address Line | 7150 GREENVILLE AVE STE 400
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City | DALLAS
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State | TX
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Zip | 75231-5186
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Country | US
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Telephone | 469-205-7297
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Fax |
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Provider Business Mailing Address
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Address Line | 11350 MCCORMICK RD. EXECUTIVE PLAZA 1 SUITE 501
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City | HUNT VALLEY
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State | MD
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Zip | 21031-1002
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Country | US
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Telephone | 694-205-7297
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Fax |
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Authorized Official
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Title or Position | ASC ADMINISTRATOR
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Name | HILLARY JONES
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Credential | RN
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Telephone | 469-205-7297
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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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