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General NPI Number Information
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NPI Number | 1710842943
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Entity Type | Organization
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Legal Business Name | SACRAMENTO CHILDREN'S SURGERY CENTER, LLC
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Dates
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Enumeration Date | 12/19/2025
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Last Update Date | 12/19/2025
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Provider Practice Location Address
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Address Line | 12620 VENTURA BLVD STE. 800
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City | ENCINO
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State | CA
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Zip | 84088-9274
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Country | US
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Telephone | 818-814-9800
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Fax |
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Provider Business Mailing Address
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Address Line | 8977 S 1300 W STE 475
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City | WEST JORDAN
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State | UT
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Zip | 84088-9274
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | JEFFERY WHEELER
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Credential |
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Telephone | 301-494-3000
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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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