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General NPI Number Information
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NPI Number | 1548674138
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Entity Type | Organization
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Legal Business Name | SAS SURGERY CENTER, LLC
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Dates
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Enumeration Date | 06/12/2014
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Last Update Date | 06/12/2014
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Provider Practice Location Address
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Address Line | 23456 HAWTHORNE BLVD SUITE 110
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City | TORRANCE
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State | CA
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Zip | 90505-4716
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Country | US
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Telephone | 310-375-8700
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Fax | 714-762-8125
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Provider Business Mailing Address
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Address Line | 23456 HAWTHORNE BLVD SUITE 110
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City | TORRANCE
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State | CA
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Zip | 90505-4716
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Country | US
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Telephone | 310-375-8700
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Fax | 714-762-8125
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Authorized Official
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Title or Position | OWNER/MANAGING PARTNER
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Name | PETER BORDEN
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Credential | M.D.
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Telephone | 310-375-8700
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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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