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NPI 1578379228

NPI 1578379228 : ASPIRE SURGICAL CENTER, LLC : BAKERSFIELD, CA

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General NPI Number Information
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    NPI Number           |    1578379228
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    Entity Type          |    Organization 
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    Legal Business Name  |    ASPIRE SURGICAL CENTER, LLC 
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Dates
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    Enumeration Date     |    12/07/2024
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    Last Update Date     |    02/28/2025
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Provider Practice Location Address
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    Address Line         |    2020 21ST ST 
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    City                 |    BAKERSFIELD
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    State                |    CA
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    Zip                  |    93301-4220
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    Country              |    US
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    Telephone            |    661-735-5597
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    7230 MEDICAL CENTER DR STE 500 
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    City                 |    WEST HILLS
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    State                |    CA
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    Zip                  |    91307-4024
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    Country              |    US
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    Telephone            |    818-348-7246
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    Fax                  |    
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Authorized Official
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    Title or Position    |    DIRECTOR OF NURSING
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    Name                 |     KELLIE  TUASON 
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    Credential           |    RN
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    Telephone            |    818-348-7246
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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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Taxonomy #2
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    Taxonomy Code        |    207XS0117X
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    Taxonomy Name        |    Orthopaedic Surgery of the Spine Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    208VP0014X
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    Taxonomy Name        |    Interventional Pain Medicine Physician
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    License Number       |    
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    License Number State |    
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