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General NPI Number Information
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NPI Number | 1710057534
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Entity Type | Organization
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Legal Business Name | NOVAMED SURGERY CENTER OF SEBRING LLC
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Dates
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Enumeration Date | 11/09/2006
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Last Update Date | 09/05/2007
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Provider Practice Location Address
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Address Line | 3601 S HIGHLANDS AVE
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City | SEBRING
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State | FL
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Zip | 33870-5418
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Country | US
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Telephone | 863-382-7500
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Fax | 863-385-7332
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Provider Business Mailing Address
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Address Line | 3601 S HIGHLANDS AVE
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City | SEBRING
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State | FL
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Zip | 33870-5418
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Country | US
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Telephone | 863-382-7500
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Fax | 863-385-7332
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Authorized Official
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Title or Position | EXECUTIVE VP AND CFO
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Name | MR. SCOTT T. MACOMBER
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Credential |
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Telephone | 312-780-3234
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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 | 805
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License Number State | FL
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