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General NPI Number Information
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NPI Number | 1609767342
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Entity Type | Organization
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Legal Business Name | ASSOCIATED SURGICAL CENTER OF DEARBORN LLC
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Dates
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Enumeration Date | 07/11/2025
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Last Update Date | 07/11/2025
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Provider Practice Location Address
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Address Line | 24420 FORD RD
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City | DEARBORN HEIGHTS
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State | MI
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Zip | 48127-3233
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Country | US
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Telephone | 313-202-9400
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Fax | 313-730-8196
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Provider Business Mailing Address
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Address Line | 24420 FORD RD
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City | DEARBORN HEIGHTS
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State | MI
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Zip | 48127-3233
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Country | US
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Telephone | 313-202-9400
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Fax | 313-730-8196
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Authorized Official
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Title or Position | OFFICE COORDINATOR
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Name | RICKI BURTON
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Credential |
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Telephone | 313-202-9400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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