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General NPI Number Information
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NPI Number | 1770537698
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Entity Type | Organization
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Legal Business Name | PHYSICIANS SURGERY CENTER OF FLORENCE LLC
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Dates
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Enumeration Date | 05/22/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1580 FREEDOM BLVD SUITE 300
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City | FLORENCE
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State | SC
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Zip | 29505-6074
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Country | US
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Telephone | 843-664-3300
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Fax | 843-664-3723
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Provider Business Mailing Address
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Address Line | PO BOX 849814
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City | DALLAS
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State | TX
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Zip | 75284
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Country | US
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Telephone | 843-664-3300
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Fax | 843-664-3723
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Authorized Official
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Title or Position | SENIOR VICE PRESIDENT
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Name | REBECCA HURLEY
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Credential |
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Telephone | 214-473-7000
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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 | ASF-088
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License Number State | SC
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