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General NPI Number Information
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NPI Number | 1710803770
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Entity Type | Organization
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Legal Business Name | EXODUS SURGICAL CENTER LLC
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Dates
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Enumeration Date | 06/25/2026
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Last Update Date | 06/25/2026
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Provider Practice Location Address
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Address Line | 41990 COOK ST STE F1003
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City | PALM DESERT
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State | CA
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Zip | 92211-6100
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Country | US
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Telephone | 760-565-5545
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Fax | 760-424-5578
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Provider Business Mailing Address
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Address Line | 79405 HIGHWAY 111 STE 9469
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City | LA QUINTA
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State | CA
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Zip | 92253-8300
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Country | US
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Telephone | 760-565-5545
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Fax | 760-424-5578
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | SOPHIA HASE
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Credential |
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Telephone | 760-565-5545
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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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