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General NPI Number Information
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NPI Number | 1477558641
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Entity Type | Organization
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Legal Business Name | UPPER ARLINGTON SURGERY CENTER, LTD.
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Dates
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Enumeration Date | 06/15/2005
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Last Update Date | 04/09/2008
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Provider Practice Location Address
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Address Line | 2240 N BANK DR
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City | COLUMBUS
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State | OH
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Zip | 43220-5420
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Country | US
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Telephone | 614-566-5080
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Fax | 614-457-1887
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Provider Business Mailing Address
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Address Line | 2240 N BANK DR
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City | COLUMBUS
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State | OH
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Zip | 43220-5420
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Country | US
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Telephone | 614-566-5080
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Fax | 614-457-1887
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. MARYANN COONEY
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Credential | RN
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Telephone | 614-566-5080
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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 | 171
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License Number State | OH
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