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General NPI Number Information
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NPI Number | 1568505899
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Entity Type | Organization
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Legal Business Name | BON SECOURS SURGERY CENTER AT HARBOUR VIEW, LLC
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Dates
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Enumeration Date | 02/15/2007
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Last Update Date | 01/11/2025
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Provider Practice Location Address
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Address Line | 1020 BON SECOURS DR STE 101
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City | SUFFOLK
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State | VA
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Zip | 23435
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Country | US
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Telephone | 757-673-5832
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Fax | 757-673-5880
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Provider Business Mailing Address
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Address Line | 1020 BON SECOURS DR STE 101
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City | SUFFOLK
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State | VA
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Zip | 23435
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Country | US
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Telephone | 757-673-5832
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Fax | 757-673-5880
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Authorized Official
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Title or Position | OFFICER/AUTHORIZED OFFICIAL
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Name | KRISTEN O'CONNOR
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Credential |
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Telephone | 615-376-7315
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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 | OH711
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License Number State | VA
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