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General NPI Number Information
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NPI Number | 1417581059
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Entity Type | Organization
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Legal Business Name | WESTERN ACUTE CARE SURGEONS INC
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Dates
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Enumeration Date | 02/22/2020
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Last Update Date | 10/07/2024
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Provider Practice Location Address
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Address Line | 401 E HIGHLAND AVE STE 351
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City | SAN BERNARDINO
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State | CA
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Zip | 92404-3830
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Country | US
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Telephone | 909-327-3288
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Fax | 801-931-2044
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Provider Business Mailing Address
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Address Line | 967 KENDALL DR STE A306
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City | SAN BERNARDINO
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State | CA
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Zip | 92407-4306
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Country | US
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Telephone | 888-531-9625
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Fax | 801-931-2044
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Authorized Official
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Title or Position | DIRECTOR
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Name | RUBEN OSORIO
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Credential | MD
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Telephone | 909-327-3288
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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