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General NPI Number Information
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NPI Number | 1518323435
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Entity Type | Organization
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Legal Business Name | SOUTHTOWNS SURGERY CENTER LLC
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Dates
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Enumeration Date | 01/07/2016
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Last Update Date | 01/07/2016
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Provider Practice Location Address
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Address Line | 5959 BIG TREE RD
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City | ORCHARD PARK
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State | NY
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Zip | 14127-2291
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Country | US
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Telephone | 716-859-8831
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Fax |
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Provider Business Mailing Address
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Address Line | 726 EXCHANGE ST SUITE 200
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City | BUFFALO
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State | NY
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Zip | 14210-1484
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Country | US
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Telephone | 716-859-8831
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Fax |
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Authorized Official
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Title or Position | SVP NETWORK DEVELOP AND OPS
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Name | MR. DONALD BOYD
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Credential |
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Telephone | 716-859-8831
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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 | NY
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