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General NPI Number Information
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NPI Number | 1619320942
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Entity Type | Organization
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Legal Business Name | TOTAL HEALTH SURGERY CENTER, LLC
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Dates
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Enumeration Date | 07/21/2016
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Last Update Date | 05/02/2017
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Provider Practice Location Address
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Address Line | 4910 VAN NUYS BLVD STE 306
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City | SHERMAN OAKS
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State | CA
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Zip | 91403-1770
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Country | US
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Telephone | 818-906-9901
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Fax |
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Provider Business Mailing Address
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Address Line | 4910 VAN NUYS BLVD STE 306
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City | SHERMAN OAKS
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State | CA
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Zip | 91403-1770
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Country | US
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Telephone | 818-906-9901
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DAVID ROGERS
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Credential | M.D
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Telephone | 818-906-9901
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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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