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General NPI Number Information
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NPI Number | 1548822620
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Entity Type | Organization
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Legal Business Name | NORTHRIDGE SURGICAL SUITES, LLC
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Dates
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Enumeration Date | 06/28/2019
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Last Update Date | 07/29/2025
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Provider Practice Location Address
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Address Line | 41 INNOVATIVE WAY
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City | NASHUA
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State | NH
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Zip | 03062
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Country | US
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Telephone | 603-490-7338
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Fax |
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Provider Business Mailing Address
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Address Line | 41 INNOVATIVE WAY
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City | NASHUA
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State | NH
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Zip | 03062
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Country | US
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Telephone | 603-490-7338
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Fax |
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Authorized Official
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Title or Position | NURSE ADMINISTRATOR
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Name | KATIE ROMANO
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Credential | MBA, RN, BSN, CNOR
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Telephone | 603-484-7710
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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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