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NPI 1528956372

NPI 1528956372 : BLOOMFIELD HILLS SURGERY CENTER : BLOOMFIELD HILLS, MI

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General NPI Number Information
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    NPI Number           |    1528956372
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    Entity Type          |    Organization 
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    Legal Business Name  |    BLOOMFIELD HILLS SURGERY CENTER 
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Dates
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    Enumeration Date     |    06/27/2025
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    Last Update Date     |    06/27/2025
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Provider Practice Location Address
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    Address Line         |    359 ENTERPRISE CT 
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    City                 |    BLOOMFIELD HILLS
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    State                |    MI
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    Zip                  |    48302-1055
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    Country              |    US
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    Telephone            |    248-220-7505
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    359 ENTERPRISE CT 
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    City                 |    BLOOMFIELD HILLS
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    State                |    MI
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    Zip                  |    48302-1055
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PRESIDENT & CEO
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    Name                 |     BILJANA  TRUJILLO 
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    Credential           |    
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    Telephone            |    248-312-9886
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207L00000X
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    Taxonomy Name        |    Anesthesiology Physician
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    License Number       |    
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    License Number State |    
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