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General NPI Number Information
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NPI Number | 1578740288
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Entity Type | Organization
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Legal Business Name | SURGICAL ASSOCIATES OF MARION COUNTY PA
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Dates
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Enumeration Date | 01/24/2008
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Last Update Date | 05/23/2008
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Provider Practice Location Address
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Address Line | 150 SE 17TH STREET SUITE 603
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City | OCALA
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State | FL
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Zip | 34471-5162
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Country | US
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Telephone | 352-368-2828
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Fax | 352-368-7670
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Provider Business Mailing Address
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Address Line | 150 SE 17TH STREET SUITE 603
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City | OCALA
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State | FL
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Zip | 34471-5162
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Country | US
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Telephone | 352-368-2828
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Fax | 352-368-7670
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Authorized Official
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Title or Position | PRESIDENT
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Name | WILLIAM T OVERCASH
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Credential | MD
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Telephone | 352-368-2828
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | ME56492
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License Number State | FL
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