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General NPI Number Information
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NPI Number | 1720305550
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Entity Type | Organization
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Legal Business Name | CALCAGNO AND ROSSI VEIN SURGERY CENTER LLC
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Dates
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Enumeration Date | 05/04/2010
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Last Update Date | 05/04/2010
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Provider Practice Location Address
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Address Line | 2025 TECHNOLOGY PKWY STE 306
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City | MECHANICSBURG
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State | PA
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Zip | 17050-9402
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Country | US
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Telephone | 717-791-2800
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Fax | 717-791-2828
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Provider Business Mailing Address
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Address Line | 2025 TECHNOLOGY PKWY STE 306
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City | MECHANICSBURG
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State | PA
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Zip | 17050-9402
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Country | US
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Telephone | 717-791-2800
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Fax | 717-791-2828
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | DANITA BARRON
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Credential |
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Telephone | 717-791-2800
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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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