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General NPI Number Information
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NPI Number | 1548605082
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Entity Type | Organization
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Legal Business Name | SACRAMENTO VALLEY SURGERY CENTER LLC
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Dates
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Enumeration Date | 05/09/2013
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Last Update Date | 05/09/2013
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Provider Practice Location Address
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Address Line | 1970 LAKE BLVD SUITE 2
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City | DAVIS
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State | CA
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Zip | 95616-5663
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Country | US
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Telephone | 530-756-1152
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Fax | 530-756-1153
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Provider Business Mailing Address
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Address Line | 1970 LAKE BLVD SUITE 2
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City | DAVIS
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State | CA
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Zip | 95616-5663
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Country | US
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Telephone | 530-756-1152
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Fax | 530-756-1153
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. LAWRENCE R CATE
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Credential |
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Telephone | 916-473-7602
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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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