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General NPI Number Information
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NPI Number | 1598797714
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Entity Type | Organization
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Legal Business Name | SURGERY CENTER OF LYNCHBURG LLC
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Dates
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Enumeration Date | 07/07/2006
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Last Update Date | 07/01/2014
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Provider Practice Location Address
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Address Line | 2401 ATHERHOLT RD
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City | LYNCHBURG
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State | VA
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Zip | 24501
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Country | US
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Telephone | 434-947-7700
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Fax | 434-947-7711
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Provider Business Mailing Address
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Address Line | 2401 ATHERHOLT RD
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City | LYNCHBURG
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State | VA
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Zip | 24501
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Country | US
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Telephone | 434-947-7700
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Fax | 434-947-7711
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Authorized Official
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Title or Position | BOARD PRESIDENT
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Name | PETER CAPRISE JR.
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Credential | MD
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Telephone | 434-947-7700
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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 | OH673
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License Number State | VA
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