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General NPI Number Information
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NPI Number | 1811942998
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Entity Type | Organization
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Legal Business Name | DAY SURGERY, INC.
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Dates
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Enumeration Date | 05/24/2006
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Last Update Date | 07/26/2007
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Provider Practice Location Address
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Address Line | 151 FRONTAGE A RD
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City | GRAY
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State | LA
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Zip | 70359-6301
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Country | US
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Telephone | 985-580-1598
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Fax | 985-580-1218
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Provider Business Mailing Address
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Address Line | 151 FRONTAGE A RD
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City | GRAY
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State | LA
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Zip | 70359-6301
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Country | US
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Telephone | 985-580-1598
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Fax | 985-580-1218
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Authorized Official
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Title or Position | OWNER/MEDICAL DIRECTOR
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Name | DR. JIMMY NOLAN PONDER JR.
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Credential | MD
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Telephone | 985-580-1598
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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 | 82
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License Number State | LA
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