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General NPI Number Information
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NPI Number | 1396700407
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Entity Type | Organization
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Legal Business Name | ARLINGTON SURGERY CENTER, LLC
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Dates
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Enumeration Date | 04/20/2006
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Last Update Date | 10/21/2025
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Provider Practice Location Address
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Address Line | 918 N DAVIS DR
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City | ARLINGTON
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State | TX
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Zip | 76012-3226
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Country | US
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Telephone | 817-860-9933
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Fax | 817-795-9662
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Provider Business Mailing Address
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Address Line | 918 N DAVIS DR
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City | ARLINGTON
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State | TX
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Zip | 76012-3226
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Country | US
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Telephone | 817-860-9933
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Fax | 817-795-9662
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Authorized Official
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Title or Position | DIRECTOR
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Name | MICHAEL KOGAN
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Credential |
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Telephone | 469-231-5424
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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 | 000100
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License Number State | TX
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