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General NPI Number Information
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NPI Number | 1538262118
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Entity Type | Organization
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Legal Business Name | MERCURY SURGERY CENTER LLC
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Dates
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Enumeration Date | 09/07/2006
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Last Update Date | 06/13/2013
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Provider Practice Location Address
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Address Line | 901 HEARTLAND DRIVE SUITE 1820
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City | ST JOSEPH
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State | MO
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Zip | 64506-6201
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Country | US
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Telephone | 816-364-2772
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Fax | 816-364-6620
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Provider Business Mailing Address
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Address Line | 901 HEARTLAND DRIVE SUITE 1820
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City | ST JOSEPH
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State | MO
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Zip | 64506-6201
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Country | US
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Telephone | 816-364-2772
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Fax | 816-364-6620
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. KRIKOR O PARTAMIAN
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Credential | MD
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Telephone | 816-232-8877
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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 | 1730
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License Number State | MO
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