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General NPI Number Information
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NPI Number | 1740264811
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Entity Type | Organization
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Legal Business Name | EYES OF YORK SURGICAL CENTER LLC
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Dates
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Enumeration Date | 12/02/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1880 KENNETH ROAD SUITE 2
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City | YORK
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State | PA
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Zip | 17404
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Country | US
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Telephone | 717-767-2001
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Fax | 717-767-2832
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Provider Business Mailing Address
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Address Line | 1880 KENNETH ROAD SUITE 2
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City | YORK
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State | PA
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Zip | 17404
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Country | US
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Telephone | 717-767-2001
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Fax | 717-767-2832
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. MICHELLE L BROWN
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Credential |
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Telephone | 717-767-2001
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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 | 1872
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License Number State | PA
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