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General NPI Number Information
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NPI Number | 1750173647
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Entity Type | Organization
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Legal Business Name | NOVANT HEALTH BUCKWALTER SURGERY CENTER, LLC
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Dates
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Enumeration Date | 05/19/2025
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Last Update Date | 05/19/2025
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Provider Practice Location Address
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Address Line | 400 BUCKWALTER PLACE BLVD
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City | BLUFFTON
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State | SC
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Zip | 29910-5150
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Country | US
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Telephone | 843-784-8181
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Fax |
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Provider Business Mailing Address
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Address Line | 2085 FRONTIS PLAZA BLVD FL 3
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City | WINSTON SALEM
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State | NC
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Zip | 27103-5614
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Country | US
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Telephone | 336-277-8757
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Fax |
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Authorized Official
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Title or Position | SVP & PRESIDENT SOUTH CAROLINA REGI
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Name | JASON BERND
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Credential |
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Telephone | 704-776-6195
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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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