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General NPI Number Information
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NPI Number | 1518264332
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Entity Type | Organization
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Legal Business Name | SANTA FE SURGERY CENTER LLC
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Dates
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Enumeration Date | 02/14/2011
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Last Update Date | 03/03/2011
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Provider Practice Location Address
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Address Line | 8500 COUNTY ROAD 466 SUITE 101
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City | LADY LAKES
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State | FL
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Zip | 32162
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Country | US
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Telephone | 407-256-0933
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Fax | 407-774-0681
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Provider Business Mailing Address
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Address Line | 8564 E COUNTY ROAD 466 SUITE 101
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City | LADY LAKE
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State | FL
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Zip | 32162-3020
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Country | US
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Telephone | 407-256-0933
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Fax | 407-774-0681
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | NANCY K KASTNER
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Credential |
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Telephone | 407-256-0933
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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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