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General NPI Number Information
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NPI Number | 1770603706
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Entity Type | Organization
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Legal Business Name | BIRMINGHAM AMBULATORY SURGICAL CENTER, PLLC
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Dates
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Enumeration Date | 03/31/2007
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Last Update Date | 04/06/2011
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Provider Practice Location Address
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Address Line | 230 W MAPLE ROAD STE 100
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City | TROY
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State | MI
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Zip | 48084-5435
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Country | US
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Telephone | 248-244-1500
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Fax | 248-250-7230
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Provider Business Mailing Address
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Address Line | 230 W MAPLE ROAD STE 100
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City | TROY
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State | MI
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Zip | 48084-5435
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Country | US
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Telephone | 248-244-1500
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Fax | 248-250-7230
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Authorized Official
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Title or Position | OWNER/PARTNER
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Name | MRS. LAWRENCE F HANDLER
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Credential | MD
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Telephone | 248-649-1644
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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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Taxonomy #2
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | 1010000076
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License Number State | MI
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