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General NPI Number Information
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NPI Number | 1407093891
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Entity Type | Organization
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Legal Business Name | TEMPE NEW DAY SURGERY CENTER LP
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Dates
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Enumeration Date | 01/07/2009
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Last Update Date | 10/25/2012
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Provider Practice Location Address
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Address Line | 2000 E SOUTHERN AVE STE 106
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City | TEMPE
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State | AZ
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Zip | 85282-7510
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Country | US
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Telephone | 480-838-9313
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Fax | 480-491-8802
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Provider Business Mailing Address
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Address Line | 2000 E SOUTHERN AVE STE 106
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City | TEMPE
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State | AZ
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Zip | 85282-7510
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Country | US
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Telephone | 480-838-9313
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Fax | 480-491-8802
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JOHN L. TITUS
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Credential |
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Telephone | 480-838-9313
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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 | OSC4528
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License Number State | AZ
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