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General NPI Number Information
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NPI Number | 1629559208
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Entity Type | Organization
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Legal Business Name | ORTHO ARIZONA SURGERY CENTER GILBERT, LLC
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Dates
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Enumeration Date | 08/22/2018
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Last Update Date | 01/12/2026
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Provider Practice Location Address
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Address Line | 1675 E. MELROSE STREET SUITE 201
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City | GILBERT
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State | AZ
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Zip | 85297-7500
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Country | US
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Telephone | 480-519-8100
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Fax | 480-718-7690
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Provider Business Mailing Address
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Address Line | 1675 E MELROSE ST UNIT 201
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City | GILBERT
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State | AZ
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Zip | 85297-1002
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Country | US
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Telephone | 480-519-8100
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Fax | 480-718-7690
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Authorized Official
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Title or Position | OFFICER / AUTHORIZED OFFICIAL
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Name | ERIC BOON
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Credential |
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Telephone | 480-567-0269
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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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