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General NPI Number Information
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NPI Number | 1801854591
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Entity Type | Organization
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Legal Business Name | SAN ANTONIO SURGERY CENTER
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Dates
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Enumeration Date | 05/02/2006
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Last Update Date | 10/12/2007
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Provider Practice Location Address
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Address Line | 21 SPURS LN SUBLEVEL 100
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City | SAN ANTONIO
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State | TX
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Zip | 78240-1669
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Country | US
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Telephone | 210-614-0187
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Fax |
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Provider Business Mailing Address
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Address Line | 21 SPURS LN SUBLEVEL 100
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City | SAN ANTONIO
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State | TX
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Zip | 78240-1669
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Country | US
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Telephone | 210-614-0187
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | ERIC RANDELL DAY
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Credential |
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Telephone | 210-614-0187
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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 | 000171
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License Number State | TX
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