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General NPI Number Information
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NPI Number | 1740228766
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Entity Type | Organization
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Legal Business Name | THE SURGICAL & ENDOSCOPIC CENTER OF STEPHENVILLE
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Dates
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Enumeration Date | 06/03/2006
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Last Update Date | 02/08/2008
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Provider Practice Location Address
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Address Line | 150 RIVER NORTH BLVD
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City | STEPHENVILLE
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State | TX
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Zip | 76401-1803
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Country | US
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Telephone | 254-918-2210
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Fax | 254-968-4204
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Provider Business Mailing Address
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Address Line | 140 RIVER NORTH BLVD
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City | STEPHENVILLE
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State | TX
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Zip | 76401-1803
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Country | US
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Telephone | 254-918-2210
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Fax | 254-968-4204
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Authorized Official
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Title or Position | BUSINESS OFFICE MANAGER
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Name | MS. SHERRIE BARTON
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Credential |
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Telephone | 254-968-7020
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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 | PENDING SURVEY
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License Number State | TX
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