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General NPI Number Information
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NPI Number | 1518579903
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Entity Type | Organization
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Legal Business Name | AMIN SURGERY CENTER FOR WOMEN LLC
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Dates
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Enumeration Date | 08/18/2020
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Last Update Date | 08/18/2020
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Provider Practice Location Address
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Address Line | 1150B KIRKLAND LN
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City | DOUGLAS
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State | GA
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Zip | 31533-2044
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Country | US
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Telephone | 912-384-6630
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Fax | 912-384-0418
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Provider Business Mailing Address
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Address Line | 1150 KIRKLAND LN
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City | DOUGLAS
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State | GA
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Zip | 31533-2044
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Country | US
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Telephone | 912-384-6630
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Fax | 912-384-0418
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Authorized Official
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Title or Position | MD, PC
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Name | MR. MAHENDRA KUMAR GOVINDBHAI AMIN
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Credential | MD, PC
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Telephone | 912-381-2000
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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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