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General NPI Number Information
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NPI Number | 1750389391
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Entity Type | Organization
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Legal Business Name | FAIRFIELD AMBULATORY SURGERY CENTER, LTD
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Dates
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Enumeration Date | 07/08/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2401 N COLUMBUS ST
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City | LANCASTER
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State | OH
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Zip | 43130-8296
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Country | US
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Telephone | 740-681-2700
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Fax | 740-681-2750
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Provider Business Mailing Address
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Address Line | 2401 N COLUMBUS ST
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City | LANCASTER
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State | OH
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Zip | 43130-8296
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Country | US
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Telephone | 740-681-2700
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Fax | 740-681-2750
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Authorized Official
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Title or Position | DIRECTOR
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Name | MRS. PATRICIA MOORE
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Credential | RN
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Telephone | 740-681-2700
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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 | 329
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License Number State | OH
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