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General NPI Number Information
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NPI Number | 1467878843
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Entity Type | Organization
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Legal Business Name | ABILENE WHITE ROCK SURGERY CENTER, LLC
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Dates
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Enumeration Date | 03/10/2014
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Last Update Date | 01/13/2015
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Provider Practice Location Address
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Address Line | 2401 N TREADAWAY BLVD
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City | ABILENE
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State | TX
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Zip | 79601-1953
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Country | US
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Telephone | 325-676-7700
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Fax | 325-676-7991
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Provider Business Mailing Address
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Address Line | PO BOX 2587
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City | ABILENE
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State | TX
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Zip | 79604-2587
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Country | US
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Telephone | 325-676-7700
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Fax | 325-676-7991
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. NORMAN J DOZIER
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Credential | MD
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Telephone | 325-676-7700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP3300X
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Taxonomy Name | Pain Clinic/Center
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License Number |
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License Number State |
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