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General NPI Number Information
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NPI Number | 1811262363
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Entity Type | Organization
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Legal Business Name | PRECISION SURGERY CENTER, LLC
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Dates
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Enumeration Date | 03/16/2012
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Last Update Date | 10/17/2012
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Provider Practice Location Address
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Address Line | 1857 N. WEBB ROAD
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City | WICHITA
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State | KS
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Zip | 67206
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Country | US
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Telephone | 316-866-2540
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Fax | 316-866-2571
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Provider Business Mailing Address
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Address Line | 1857 N. WEBB ROAD
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City | WICHITA
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State | KS
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Zip | 67206
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Country | US
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Telephone | 316-866-2540
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Fax | 316-866-2571
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Authorized Official
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Title or Position | CEO
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Name | JOHN BABB
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Credential | M.D.
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Telephone | 316-866-2540
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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 | KS
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