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General NPI Number Information
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NPI Number | 1467559625
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Entity Type | Organization
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Legal Business Name | WINCHESTER EYE SURGERY CENTER, LLC
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 03/11/2025
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Provider Practice Location Address
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Address Line | 525 AMHERST ST
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City | WINCHESTER
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State | VA
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Zip | 22601-3881
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Country | US
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Telephone | 540-667-5535
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Fax | 540-667-5536
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Provider Business Mailing Address
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Address Line | 525 AMHERST ST STE 102
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City | WINCHESTER
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State | VA
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Zip | 22601-3881
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Country | US
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Telephone | 540-667-5535
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Fax | 540-667-5536
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Authorized Official
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Title or Position | MANAGER
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Name | AMY BURTON
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Credential |
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Telephone | 434-661-7762
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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 | OH707
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License Number State | VA
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