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General NPI Number Information
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NPI Number | 1477142784
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Entity Type | Organization
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Legal Business Name | UWS ASC LLC
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Dates
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Enumeration Date | 01/12/2021
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Last Update Date | 09/15/2021
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Provider Practice Location Address
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Address Line | 230 W 74TH ST
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City | NEW YORK
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State | NY
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Zip | 10023-2107
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Country | US
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Telephone | 203-894-2162
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Fax | 914-801-4664
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Provider Business Mailing Address
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Address Line | 230 W 74TH ST
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City | NEW YORK
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State | NY
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Zip | 10023-2107
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Country | US
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Telephone | 914-677-0200
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Fax |
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Authorized Official
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Title or Position | MEMBER MANAGER
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Name | RICHARD SEARLES
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Credential |
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Telephone | 914-677-0200
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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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