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General NPI Number Information
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NPI Number | 1679577167
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Entity Type | Organization
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Legal Business Name | WHITEHALL SURGERY CENTER, LTD
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Dates
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Enumeration Date | 06/13/2005
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Last Update Date | 07/06/2022
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Provider Practice Location Address
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Address Line | 1030 REFUGEE ROAD SUITE 160
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City | PICKERINGTON
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State | OH
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Zip | 43147
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Country | US
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Telephone | 614-604-7444
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Fax | 614-604-7445
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Provider Business Mailing Address
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Address Line | 1030 REFUGEE ROAD SUITE 160
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City | PICKERINGTON
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State | OH
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Zip | 43147
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Country | US
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Telephone | 614-604-7444
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Fax | 614-604-7445
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. LAURA SMITH
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Credential |
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Telephone | 614-604-7444
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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 | 07551C
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License Number State | OH
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