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General NPI Number Information
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NPI Number | 1619614963
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Entity Type | Organization
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Legal Business Name | VALLEY SURGERY CENTER LLC
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Dates
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Enumeration Date | 05/18/2022
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Last Update Date | 06/18/2025
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Provider Practice Location Address
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Address Line | 2651 HILLCREST DR STE 301
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City | HUDSON
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State | WI
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Zip | 54016-9919
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Country | US
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Telephone | 651-333-2190
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Fax | 651-275-3161
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Provider Business Mailing Address
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Address Line | 1719 TOWER DR W STE 100
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City | STILLWATER
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State | MN
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Zip | 55082-7512
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Country | US
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Telephone | 651-333-2190
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Fax | 651-275-3032
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Authorized Official
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Title or Position | MD/ PRESIDENT
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Name | DR. GARY SCHWARTZ
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Credential | MD
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Telephone | 651-275-3000
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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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