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General NPI Number Information
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NPI Number | 1700887643
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Entity Type | Organization
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Legal Business Name | MNH SURGICAL CENTER INC
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Dates
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Enumeration Date | 08/02/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1101 N MAITLAND AVE STE 2
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City | MAITLAND
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State | FL
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Zip | 32751-4346
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Country | US
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Telephone | 407-644-4222
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Fax | 407-644-5073
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Provider Business Mailing Address
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Address Line | 1101 N MAITLAND AVE STE 2
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City | MAITLAND
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State | FL
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Zip | 32751-4346
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Country | US
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Telephone | 407-644-4222
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Fax | 407-644-5073
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | NADIA A HILAL
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Credential | RPN
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Telephone | 407-644-4222
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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 | 1072
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License Number State | FL
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