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General NPI Number Information
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NPI Number | 1700162054
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Entity Type | Organization
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Legal Business Name | SOLAR SURGICAL CENTER, LLC
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Dates
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Enumeration Date | 11/01/2011
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Last Update Date | 08/19/2013
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Provider Practice Location Address
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Address Line | 1901 SOLAR DR SUITE 100
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City | OXNARD
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State | CA
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Zip | 93036-2641
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Country | US
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Telephone | 805-485-4345
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Fax | 805-512-7161
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Provider Business Mailing Address
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Address Line | 1901 SOLAR DR SUITE 100
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City | OXNARD
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State | CA
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Zip | 93036-2641
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Country | US
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Telephone | 805-485-4345
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Fax | 805-512-7161
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Authorized Official
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Title or Position | OWNER
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Name | DR. ANDREW R LANGROUDI
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Credential | D.P.M.
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Telephone | 805-485-4345
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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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