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General NPI Number Information
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NPI Number | 1629130521
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Entity Type | Organization
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Legal Business Name | MIDWEST SURGERY CENTER, LLC
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Dates
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Enumeration Date | 12/15/2006
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Last Update Date | 08/25/2023
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Provider Practice Location Address
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Address Line | 2080 WOODWINDS DR
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City | WOODBURY
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State | MN
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Zip | 55125-2523
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Country | US
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Telephone | 651-642-1106
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Fax | 651-642-9837
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Provider Business Mailing Address
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Address Line | 2080 WOODWINDS DR
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City | WOODBURY
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State | MN
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Zip | 55125-2523
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Country | US
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Telephone | 651-642-1106
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Fax | 651-642-9837
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Authorized Official
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Title or Position | CHIEF ADMINISTRATIVE OFFICER
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Name | MS. VANESSA J TOSSEY
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Credential |
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Telephone | 651-642-9199
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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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