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General NPI Number Information
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NPI Number | 1740288679
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Entity Type | Organization
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Legal Business Name | GULF COAST SURGICAL PARTNERS LLC
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Dates
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Enumeration Date | 07/13/2005
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Last Update Date | 11/14/2019
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Provider Practice Location Address
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Address Line | 3610 SPRINGHILL MEMORIAL DR N
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City | MOBILE
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State | AL
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Zip | 36608-1162
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Country | US
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Telephone | 251-410-3800
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Fax | 251-460-5457
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Provider Business Mailing Address
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Address Line | 4721 MORRISON DR STE 400
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City | MOBILE
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State | AL
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Zip | 36609-3350
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Country | US
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Telephone | 251-272-4934
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Fax | 251-460-5457
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Authorized Official
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Title or Position | FINANCIAL DIRECTOR
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Name | MARY MCGUIRE
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Credential |
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Telephone | 251-460-5280
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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 | 5989
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License Number State | AL
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