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General NPI Number Information
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NPI Number | 1497201867
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Entity Type | Organization
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Legal Business Name | ABILENE CENTER FOR ORTHOPEDIC AND MULTISPECIALTY SURGERY, L.L.C.
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Dates
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Enumeration Date | 08/26/2016
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Last Update Date | 10/30/2019
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Provider Practice Location Address
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Address Line | 6449 CENTRAL PARK BLVD
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City | ABILENE
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State | TX
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Zip | 79606-5884
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Country | US
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Telephone | 252-328-1103
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Fax | 325-232-8789
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Provider Business Mailing Address
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Address Line | 6449 CENTRAL PARK BLVD
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City | ABILENE
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State | TX
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Zip | 79606-5884
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Country | US
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Telephone | 325-232-8110
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Fax | 325-232-8789
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | DAWN O'NEILL
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Credential |
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Telephone | 325-232-8110
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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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