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General NPI Number Information
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NPI Number | 1437082088
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Entity Type | Organization
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Legal Business Name | ORANGE COUNTY UROLOGY SURGICAL CENTER
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Dates
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Enumeration Date | 06/04/2026
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Last Update Date | 06/04/2026
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Provider Practice Location Address
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Address Line | 18 ENDEAVOR STE 102
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City | IRVINE
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State | CA
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Zip | 92618-3180
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Country | US
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Telephone | 949-630-0621
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Fax |
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Provider Business Mailing Address
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Address Line | 23961 CALLE DE MAGDALENA SUITE 500
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City | LAGUNA HILLS
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State | CA
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Zip | 92653
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Country | US
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Telephone | 949-630-0621
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF NURSING
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Name | TIFFANY THALHAMER
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Credential | RN
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Telephone | 949-805-1253
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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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