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General NPI Number Information
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NPI Number | 1538635859
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Entity Type | Organization
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Legal Business Name | SEARCY AMBULATORY SURGERY CENTER LLC
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Dates
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Enumeration Date | 10/15/2018
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Last Update Date | 10/15/2018
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Provider Practice Location Address
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Address Line | 1115 S MAIN ST
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City | SEARCY
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State | AR
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Zip | 72143-7318
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Country | US
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Telephone | 501-773-6993
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Fax |
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Provider Business Mailing Address
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Address Line | 108 N SHACKLEFORD RD
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City | LITTLE ROCK
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State | AR
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Zip | 72211-2840
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Country | US
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Telephone | 501-773-6993
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Fax |
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Authorized Official
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Title or Position | PARTNER
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Name | MERAJ SIDDIQUI
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Credential | MD
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Telephone | 413-230-4598
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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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