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General NPI Number Information
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NPI Number | 1750414983
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Entity Type | Organization
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Legal Business Name | ROCKLEDGE SURGERY CENTER, INC.
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Dates
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Enumeration Date | 03/14/2007
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Last Update Date | 07/30/2020
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Provider Practice Location Address
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Address Line | 6500 ROCK SPRING DR STE 105
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City | BETHESDA
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State | MD
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Zip | 20817-1154
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Country | US
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Telephone | 301-530-8300
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Fax | 301-530-4638
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Provider Business Mailing Address
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Address Line | 5960 FAIRVIEW RD STE 500
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City | CHARLOTTE
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State | NC
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Zip | 28210-3113
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Country | US
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Telephone | 980-233-3220
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DAVID L BRYANT
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Credential |
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Telephone | 980-233-3200
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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 | A1315
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License Number State | MD
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