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General NPI Number Information
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NPI Number | 1770582488
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Entity Type | Organization
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Legal Business Name | AMBULATORY SURGERY CENTER OF NORTHERN OHIO INC
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Dates
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Enumeration Date | 07/15/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 6801 MAYFIELD RD SUITE 142
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City | LYNDHURST
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State | OH
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Zip | 44124-2270
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Country | US
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Telephone | 440-461-8800
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Fax | 440-646-8594
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Provider Business Mailing Address
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Address Line | 5252 MAYFIELD RD SUITE 142
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City | LYNDHURST
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State | OH
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Zip | 44124-2408
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Country | US
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Telephone | 440-646-8585
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Fax | 440-646-8590
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Authorized Official
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Title or Position | CIO/ADMINISTRATOR
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Name | MR. JAMES J ANDRASSY
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Credential |
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Telephone | 440-646-8585
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QE0800X
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Taxonomy Name | Endoscopy Clinic/Center
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License Number | 0065AS
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License Number State | OH
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