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General NPI Number Information
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NPI Number | 1528937174
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Entity Type | Organization
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Legal Business Name | CDMS SURGERY CENTER INC
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Dates
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Enumeration Date | 11/03/2025
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Last Update Date | 11/03/2025
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Provider Practice Location Address
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Address Line | 50 BELLEFONTAINE ST STE 206
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City | PASADENA
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State | CA
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Zip | 91105-3132
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Country | US
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Telephone | 626-654-3376
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Fax |
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Provider Business Mailing Address
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Address Line | 50 BELLEFONTAINE ST STE 206
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City | PASADENA
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State | CA
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Zip | 91105-3132
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Country | US
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Telephone | 626-654-3376
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Fax |
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Authorized Official
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Title or Position | CREDENTIALING SPECIALIST
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Name | TAREN CESSNA
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Credential |
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Telephone | 805-312-0667
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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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