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General NPI Number Information
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NPI Number | 1720748692
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Entity Type | Organization
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Legal Business Name | ENCORE SURGERY CENTER INC.
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Dates
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Enumeration Date | 12/20/2021
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Last Update Date | 11/22/2024
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Provider Practice Location Address
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Address Line | 300 W BADILLO ST
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City | COVINA
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State | CA
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Zip | 91723-1827
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Country | US
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Telephone | 626-332-1388
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Fax | 626-699-3327
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Provider Business Mailing Address
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Address Line | 554 E SAN BERNARDINO RD STE 200
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City | COVINA
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State | CA
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Zip | 91723-1749
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Country | US
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Telephone | 626-332-1388
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Fax | 626-727-7075
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | ARVIND LAPSIWALA
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Credential | M.D.
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Telephone | 626-332-1388
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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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