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General NPI Number Information
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NPI Number | 1750694832
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Entity Type | Organization
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Legal Business Name | SURGICARE ASSOCIATES, LLC
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Dates
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Enumeration Date | 07/19/2010
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Last Update Date | 08/23/2010
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Provider Practice Location Address
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Address Line | 760 NEWTOWN YARDLEY RD SUITE 115
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City | NEWTOWN
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State | PA
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Zip | 18940-4500
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Country | US
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Telephone | 215-504-8900
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Fax | 215-504-8902
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Provider Business Mailing Address
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Address Line | 4 FOXHALL RD
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City | NEWTOWN
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State | PA
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Zip | 18940-2930
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Country | US
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Telephone | 215-504-8900
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Fax | 215-504-8902
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | STEPHANIE MOLDEN
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Credential | MD
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Telephone | 215-504-8900
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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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