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General NPI Number Information
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NPI Number | 1508965401
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Entity Type | Organization
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Legal Business Name | MILLENNIUM SURGERY CENTER INC
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Dates
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Enumeration Date | 09/21/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 9300 STOCKDALE HWY SUITE 200
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City | BAKERSFIELD
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State | CA
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Zip | 93311
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Country | US
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Telephone | 661-663-3700
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Fax | 661-663-3737
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Provider Business Mailing Address
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Address Line | 9300 STOCKDALE HWY SUITE 200
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City | BAKERSFIELD
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State | CA
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Zip | 93311
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Country | US
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Telephone | 661-663-3700
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Fax | 661-663-3737
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Authorized Official
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Title or Position | CHEIF OPERATING OFFICER
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Name | KATHLEEN ALLMAN
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Credential |
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Telephone | 661-663-3700
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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 | 12000051
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License Number State | CA
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