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General NPI Number Information
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NPI Number | 1619284536
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Entity Type | Organization
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Legal Business Name | CHILDRENS SURGERY CENTER, LLC
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Dates
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Enumeration Date | 09/13/2010
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Last Update Date | 09/13/2010
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Provider Practice Location Address
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Address Line | 2160 NOLL DR
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City | LANCASTER
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State | PA
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Zip | 17603-7603
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Country | US
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Telephone | 161-047-0868
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Fax |
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Provider Business Mailing Address
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Address Line | 628 BAYARD RD
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City | KENNETT SQUARE
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State | PA
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Zip | 19348-2505
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Country | US
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Telephone | 161-047-0868
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ERIC FELIX
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Credential | DMD
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Telephone | 16104708686
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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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