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General NPI Number Information
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NPI Number | 1720804669
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Entity Type | Organization
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Legal Business Name | STEINDLER NORTH LIBERTY AMBULATORY SURGERY CENTER LLC
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Dates
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Enumeration Date | 11/25/2024
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Last Update Date | 03/31/2025
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Provider Practice Location Address
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Address Line | 2301 STEINDLER WAY STE A
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City | NORTH LIBERTY
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State | IA
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Zip | 52317-7907
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Country | US
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Telephone | 319-259-8400
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Fax | 319-338-0522
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Provider Business Mailing Address
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Address Line | 2301 STEINDLER WAY STE A
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City | NORTH LIBERTY
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State | IA
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Zip | 52317-7907
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Country | US
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Telephone | 319-259-8400
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Fax |
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Authorized Official
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Title or Position | PRESIDENT & CEO
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Name | EDWARD PATRICK MAGALLANES
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Credential | JD, MBA, MPA, FACHE,
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Telephone | 319-248-2160
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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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