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General NPI Number Information
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NPI Number | 1598211419
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Entity Type | Organization
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Legal Business Name | ACCESS AMBULATORY SURGERY CENTER, LLC
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Dates
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Enumeration Date | 08/31/2016
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Last Update Date | 08/31/2016
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Provider Practice Location Address
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Address Line | 45 DARTMOUTH DRIVE LOT 4
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City | AUBURN
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State | NH
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Zip | 03032
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Country | US
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Telephone | 603-775-7575
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Fax | 603-778-9680
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Provider Business Mailing Address
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Address Line | 1 HAMPTON RD SUITE 200
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City | EXETER
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State | NH
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Zip | 03833-4848
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Country | US
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Telephone | 603-775-7575
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Fax | 603-778-9680
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Authorized Official
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Title or Position | OWNER
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Name | JOSHUA SIEGEL
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Credential | M.D.
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Telephone | 603-775-7575
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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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