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General NPI Number Information
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NPI Number | 1780683078
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Entity Type | Organization
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Legal Business Name | COURT STREET SURGERY CENTER, LP
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Dates
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Enumeration Date | 07/19/2005
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Last Update Date | 12/14/2007
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Provider Practice Location Address
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Address Line | 2439 SONOMA ST
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City | REDDING
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State | CA
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Zip | 96001-3026
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Country | US
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Telephone | 530-241-1303
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Fax | 530-241-0200
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Provider Business Mailing Address
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Address Line | 2439 SONOMA ST
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City | REDDING
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State | CA
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Zip | 96001-3026
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Country | US
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Telephone | 530-241-1303
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Fax | 530-241-0200
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Authorized Official
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Title or Position | REGIONAL DIRECTOR
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Name | PATRICIA JOY KUROSAKA
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Credential | RN
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Telephone | 530-246-4444
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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 | CA
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