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General NPI Number Information
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NPI Number | 1659885325
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Entity Type | Organization
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Legal Business Name | GOLDEN SPRINGS SURGICAL CENTER
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Dates
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Enumeration Date | 11/16/2017
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Last Update Date | 03/02/2025
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Provider Practice Location Address
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Address Line | 67555 E PALM CANYON DR STE F117
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City | CATHEDRAL CITY
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State | CA
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Zip | 92234-5428
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Country | US
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Telephone | 760-656-6111
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Fax | 760-656-6110
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Provider Business Mailing Address
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Address Line | 67555 E PALM CANYON DR STE F117
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City | CATHEDRAL CITY
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State | CA
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Zip | 92234-5428
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Country | US
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Telephone | 760-656-6111
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Fax | 760-656-6110
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | TIM ULRICH LEIER
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Credential | MD
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Telephone | 718-344-2822
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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 | A80383
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License Number State | CA
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