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General NPI Number Information
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NPI Number | 1538342092
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Entity Type | Organization
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Legal Business Name | MIDDLETOWN SURGERY CENTER, LLC
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Dates
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Enumeration Date | 12/07/2007
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Last Update Date | 07/09/2008
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Provider Practice Location Address
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Address Line | 5950 INNOVATION DR.
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City | FRANKLIN
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State | OH
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Zip | 45005
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Country | US
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Telephone | 513-463-4207
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Fax |
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Provider Business Mailing Address
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Address Line | 7103 HAMILTON MASON RD
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City | WEST CHESTER
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State | OH
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Zip | 45069-1405
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Country | US
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Telephone | 513-463-4207
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Fax | 513-759-9684
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Authorized Official
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Title or Position | BOARD CHAIRPERSON
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Name | DR. DENNIS MIN
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Credential | D.O.
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Telephone | 513-375-0133
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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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