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General NPI Number Information
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NPI Number | 1801730536
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Entity Type | Organization
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Legal Business Name | CAPITAL SURGERY CENTERS LLC
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Dates
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Enumeration Date | 04/15/2026
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Last Update Date | 04/15/2026
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Provider Practice Location Address
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Address Line | 5925 W CHANDLER BLVD
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City | CHANDLER
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State | AZ
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Zip | 85226-3422
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Country | US
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Telephone | 480-999-5248
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Fax |
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Provider Business Mailing Address
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Address Line | 1757 E BASELINE RD STE 131
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City | GILBERT
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State | AZ
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Zip | 85233-1534
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. ROBERT M. KOFFIE
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Credential | MD, PHD, MBA
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Telephone | 812-756-8888
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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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