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General NPI Number Information
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NPI Number | 1538403670
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Entity Type | Organization
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Legal Business Name | FRESNO CA MULTI ASC LP
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Dates
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Enumeration Date | 11/15/2012
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Last Update Date | 09/07/2023
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Provider Practice Location Address
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Address Line | 1843 E FIR AVE SUITE 104
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City | FRESNO
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State | CA
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Zip | 93720-3863
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Country | US
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Telephone | 559-323-6611
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Fax | 559-323-5322
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Provider Business Mailing Address
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Address Line | 1A BURTON HILLS BLVD SUITE 500
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City | NASHVILLE
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State | TN
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Zip | 37215-0000
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Country | US
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Telephone | 615-240-3820
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Fax | 615-234-1720
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Authorized Official
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Title or Position | PRESIDENT OF LP
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Name | MS. BILLIE A. PAYNE
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Credential |
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Telephone | 615-665-1283
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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 | CA
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