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General NPI Number Information
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NPI Number | 1780752352
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Entity Type | Organization
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Legal Business Name | PREMIER SURGERY CENTER OF SANTA MARIA LLC
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Dates
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Enumeration Date | 12/01/2006
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Last Update Date | 08/23/2023
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Provider Practice Location Address
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Address Line | 816 EAST ENOS DRIVE B
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City | SANTA MARIA
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State | CA
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Zip | 93454
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Country | US
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Telephone | 805-347-7813
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Fax | 805-347-7814
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Provider Business Mailing Address
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Address Line | 816 EAST ENOS DRIVE B
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City | SANTA MARIA
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State | CA
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Zip | 93454
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Country | US
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Telephone | 805-347-7813
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Fax | 805-347-7814
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | AHMAD AMIR
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Credential | M.D.
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Telephone | 805-347-7813
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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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