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General NPI Number Information
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NPI Number | 1801692819
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Entity Type | Organization
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Legal Business Name | UNIVERSITY CIRCLE SURGICAL CENTER LLC
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Dates
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Enumeration Date | 02/20/2025
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Last Update Date | 06/30/2025
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Provider Practice Location Address
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Address Line | 130 BELLA KATY DR #301
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City | KATY
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State | TX
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Zip | 77494
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Country | US
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Telephone | 713-714-7192
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Fax |
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Provider Business Mailing Address
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Address Line | 1332 PIN OAK ROAD
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City | KATY
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State | TX
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Zip | 77494
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Country | US
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Telephone | 713-714-7192
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. NIMISH RAJESH DAVE
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Credential | MD
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Telephone | 713-714-7192
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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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