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General NPI Number Information
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NPI Number | 1538648613
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Entity Type | Organization
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Legal Business Name | VOLUSIA CENTER FOR SURGICAL EXCELLENCE
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Dates
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Enumeration Date | 08/09/2018
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Last Update Date | 08/15/2018
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Provider Practice Location Address
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Address Line | 2568 S RIDGEWOOD AVE STE 4
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City | EDGEWATER
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State | FL
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Zip | 32141
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Country | US
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Telephone | 386-424-1422
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Fax |
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Provider Business Mailing Address
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Address Line | 2568 S RIDGEWOOD AVE STE 4
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City | EDGEWATER
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State | FL
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Zip | 32141-7535
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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 | OWNER
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Name | OREST KRAJNYK
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Credential | MD
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Telephone | 386-424-1422
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QS0132X
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Taxonomy Name | Ophthalmologic Surgery Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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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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