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NPI 1619776390

NPI 1619776390 : NEW SURGERY CENTER LLC : MENASHA, WI

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General NPI Number Information
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    NPI Number           |    1619776390
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    Entity Type          |    Organization 
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    Legal Business Name  |    NEW SURGERY CENTER LLC 
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Dates
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    Enumeration Date     |    03/13/2025
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    Last Update Date     |    02/04/2026
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Provider Practice Location Address
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    Address Line         |    1550 MIDWAY PL STE 100 
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    City                 |    MENASHA
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    State                |    WI
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    Zip                  |    54952-1165
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    Country              |    US
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    Telephone            |    214-726-6042
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1550 W MCEWEN DR STE 350 
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    City                 |    FRANKLIN
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    State                |    TN
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    Zip                  |    37067-1792
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    Country              |    US
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    Telephone            |    615-656-8129
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    Fax                  |    
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Authorized Official
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    Title or Position    |    VP, OPERATIONS
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    Name                 |     DOUG  LASHLEY 
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    Credential           |    
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    Telephone            |    580-512-3684
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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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