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General NPI Number Information
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NPI Number | 1528016789
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Entity Type | Organization
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Legal Business Name | HAMILTON SURGERY CENTER L.L.C.
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Dates
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Enumeration Date | 05/04/2006
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Last Update Date | 03/18/2008
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Provider Practice Location Address
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Address Line | 1445 WHITEHORSE MERCERVILLE ROAD SUITE 101
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City | HAMILTON
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State | NJ
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Zip | 08619
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Country | US
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Telephone | 609-689-4820
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Fax | 609-689-4821
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Provider Business Mailing Address
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Address Line | 1445 WHITEHORSE MERCERVILLE ROAD SUITE 101
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City | HAMILTON
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State | NJ
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Zip | 08619
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Country | US
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Telephone | 609-689-4820
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Fax | 609-689-4821
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. CHRIS S WETZEL
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Credential |
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Telephone | 609-689-4820
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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 | 23393
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License Number State | NJ
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