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General NPI Number Information
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NPI Number | 1730991597
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Entity Type | Organization
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Legal Business Name | WESTFIELD AMBULATORY SURGERY CENTER, LLC
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Dates
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Enumeration Date | 01/20/2025
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Last Update Date | 01/20/2025
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Provider Practice Location Address
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Address Line | 17300 WESTFIELD BLVD STE 100
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City | WESTFIELD
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State | IN
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Zip | 46074-1363
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Country | US
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Telephone | 317-763-1020
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Fax |
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Provider Business Mailing Address
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Address Line | 12315 HANCOCK ST STE 24
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City | CARMEL
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State | IN
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Zip | 46032-5885
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Country | US
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Telephone | 317-965-8641
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MARIE KONNERSMAN
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Credential |
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Telephone | 317-965-8641
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number |
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License Number State |
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Taxonomy #9
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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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