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General NPI Number Information
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NPI Number | 1750658092
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Entity Type | Organization
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Legal Business Name | ADVANCED CENTER FOR SURGERY, LLC
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Dates
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Enumeration Date | 11/30/2011
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Last Update Date | 10/27/2021
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Provider Practice Location Address
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Address Line | 3280 PLEASANT VALLEY BLVD.
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City | ALTOONA
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State | PA
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Zip | 16602-4472
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Country | US
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Telephone | 814-381-0009
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Fax |
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Provider Business Mailing Address
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Address Line | 3280 PLEASANT VALLEY BLVD.
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City | ALTOONA
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State | PA
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Zip | 16602-4472
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Country | US
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Telephone | 814-381-0009
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Fax | 814-381-0524
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | LINDSAY ANNE CRAWFORD
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Credential |
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Telephone | 814-381-0009
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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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