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General NPI Number Information
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NPI Number | 1801944343
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Entity Type | Organization
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Legal Business Name | HUDSON VALLEY AMBULATORY SURGERY, LLC
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Dates
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Enumeration Date | 01/08/2007
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Last Update Date | 11/07/2008
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Provider Practice Location Address
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Address Line | 75 CRYSTAL RUN RD BLDG. B, SUITE #225
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City | MIDDLETOWN
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State | NY
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Zip | 10941-7000
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Country | US
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Telephone | 845-692-9900
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Fax |
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Provider Business Mailing Address
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Address Line | 75 CRYSTAL RUN RD BLDG. B, SUITE #225
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City | MIDDLETOWN
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State | NY
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Zip | 10941-7000
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Country | US
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Telephone | 845-692-9900
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. RANDY J. HAGEN
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Credential | MBA
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Telephone | 845-692-9900
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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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