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General NPI Number Information
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NPI Number | 1639668080
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Entity Type | Organization
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Legal Business Name | ZAZEN SURGERY CENTER, LLC
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Dates
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Enumeration Date | 05/01/2018
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Last Update Date | 12/19/2019
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Provider Practice Location Address
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Address Line | 25230 KINGSLAND BLVD
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City | KATY
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State | TX
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Zip | 77494-3256
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Country | US
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Telephone | 818-692-3011
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Fax | 855-849-3094
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Provider Business Mailing Address
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Address Line | 25230 KINGSLAND BLVD
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City | KATY
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State | TX
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Zip | 77494-3256
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Country | US
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Telephone | 818-693-0112
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Fax | 855-849-3094
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Authorized Official
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Title or Position | CHAIRMAN
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Name | DR. VIVIAN ASAMOAH
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Credential | MD
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Telephone | 281-869-3011
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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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