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General NPI Number Information
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NPI Number | 1609874254
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Entity Type | Organization
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Legal Business Name | NOVAMED SURGERY CENTER OF MERRILLVILLE, LLC
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Dates
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Enumeration Date | 07/08/2005
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Last Update Date | 03/06/2025
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Provider Practice Location Address
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Address Line | 9797 MASSACHUSETTS ST
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City | CROWN POINT
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State | IN
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Zip | 46307-0278
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Country | US
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Telephone | 219-756-5010
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Fax | 219-756-5106
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Provider Business Mailing Address
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Address Line | 9797 MASSACHUSETTS ST
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City | CROWN POINT
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State | IN
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Zip | 46307-0278
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Country | US
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Telephone | 219-756-5010
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Fax | 219-756-5106
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | MS. SUE GLASS
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Credential |
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Telephone | 219-937-5067
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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 | 05-005727-1
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License Number State | IN
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