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General NPI Number Information
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NPI Number | 1457242455
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Entity Type | Organization
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Legal Business Name | EAST THOMAS SURGERY CENTER LLC
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Dates
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Enumeration Date | 07/09/2025
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Last Update Date | 07/09/2025
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Provider Practice Location Address
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Address Line | 2629 N SCOTTSDALE RD STE 100
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City | SCOTTSDALE
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State | AZ
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Zip | 85257-1370
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Country | US
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Telephone | 623-334-4000
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Fax | 623-334-4400
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Provider Business Mailing Address
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Address Line | 16390 N 59TH AVE STE 200
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City | GLENDALE
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State | AZ
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Zip | 85306-1711
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Country | US
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Telephone | 623-334-4000
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Fax | 623-334-4400
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Authorized Official
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Title or Position | CEO
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Name | MR. DREW MARKELL
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Credential |
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Telephone | 623-334-4000
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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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