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General NPI Number Information
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NPI Number | 1689053050
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Entity Type | Organization
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Legal Business Name | BELTWAY SURGERY CENTERS, LLC
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Dates
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Enumeration Date | 05/19/2015
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Last Update Date | 01/21/2021
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Provider Practice Location Address
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Address Line | 10601 N MERIDIAN ST STE 100
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City | CARMEL
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State | IN
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Zip | 46290-1094
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Country | US
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Telephone | 317-575-8444
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Fax |
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Provider Business Mailing Address
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Address Line | 200 W 103RD ST STE 2055
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City | CARMEL
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State | IN
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Zip | 46290-1001
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Country | US
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Telephone | 317-817-1450
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. JON SCHAEFER
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Credential |
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Telephone | 317-817-1450
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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 | 15-012823-1
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License Number State | IN
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