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General NPI Number Information
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NPI Number | 1659379238
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Entity Type | Organization
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Legal Business Name | BILLINQSLEA SURGERY CENTER
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Dates
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Enumeration Date | 07/08/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 295 STONER AVE STE 203
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City | WESTMINSTER
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State | MD
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Zip | 21157-5698
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Country | US
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Telephone | 410-876-9221
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Fax | 410-876-5940
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Provider Business Mailing Address
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Address Line | 295 STONER AVE STE 203
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City | WESTMINSTER
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State | MD
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Zip | 21157-5698
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Country | US
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Telephone | 410-876-9221
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Fax | 410-876-5940
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Authorized Official
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Title or Position | SR. VICE PRESIDENT, FINANCE
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Name | KEVIN K KELBLY
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Credential |
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Telephone | 410-848-3000
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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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