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General NPI Number Information
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NPI Number | 1457709289
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Entity Type | Organization
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Legal Business Name | GENESYS SURGERY CENTER LLC
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Dates
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Enumeration Date | 06/02/2016
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Last Update Date | 12/21/2023
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Provider Practice Location Address
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Address Line | 35105 WARREN RD
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City | WESTLAND
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State | MI
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Zip | 48185-5571
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Country | US
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Telephone | 734-351-5272
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Fax |
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Provider Business Mailing Address
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Address Line | 35105 WARREN RD
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City | WESTLAND
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State | MI
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Zip | 48185-5571
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Country | US
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Telephone | 734-351-5272
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Fax |
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Authorized Official
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Title or Position | VICE-PRESIDENT OF OPERATIONS
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Name | KATHRYN MARY PRING
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Credential |
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Telephone | 586-439-6314
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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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