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General NPI Number Information
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NPI Number | 1548263619
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Entity Type | Organization
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Legal Business Name | AZAR EYE SURGERY CENTER LLC
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Dates
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Enumeration Date | 05/23/2005
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Last Update Date | 06/28/2012
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Provider Practice Location Address
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Address Line | 31519 WINTERPLACE PKWY STE 1
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City | SALISBURY
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State | MD
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Zip | 21804-1884
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Country | US
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Telephone | 410-546-2500
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Fax | 443-260-2454
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Provider Business Mailing Address
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Address Line | 31519 WINTERPLACE PKWY STE 3
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City | SALISBURY
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State | MD
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Zip | 21804-1884
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Country | US
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Telephone | 443-260-2828
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Fax | 443-260-2454
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ALEX AZAR
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Credential | M.D.
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Telephone | 443-260-2828
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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 | A1355
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License Number State | MD
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