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General NPI Number Information
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NPI Number | 1609963768
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Entity Type | Organization
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Legal Business Name | SURGERY CENTER OF RICHARDSON PHYSICIANS PARTNERSHIP LP
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Dates
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Enumeration Date | 10/09/2006
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Last Update Date | 07/18/2013
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Provider Practice Location Address
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Address Line | 610 N COIT RD SUITE 2120
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City | RICHARDSON
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State | TX
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Zip | 75080-5457
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Country | US
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Telephone | 972-331-9500
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Fax | 972-331-9510
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Provider Business Mailing Address
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Address Line | 610 N COIT RD SUITE 2120
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City | RICHARDSON
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State | TX
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Zip | 75080-5457
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Country | US
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Telephone | 972-331-9500
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Fax | 972-331-9510
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Authorized Official
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Title or Position | CFO
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Name | JOHN TITUS
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Credential |
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Telephone | 214-389-7400
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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 | 008037
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License Number State | TX
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