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General NPI Number Information
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NPI Number | 1821019738
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Entity Type | Organization
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Legal Business Name | SANTA BARBARA ENDOSCOPY CENTER LLC
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Dates
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Enumeration Date | 07/23/2006
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Last Update Date | 05/09/2014
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Provider Practice Location Address
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Address Line | 25 W MICHELTORENA ST
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City | SANTA BARBARA
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State | CA
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Zip | 93101-2509
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Country | US
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Telephone | 805-966-1600
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Fax | 805-966-6700
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Provider Business Mailing Address
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Address Line | 25 W MICHELTORENA ST
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City | SANTA BARBARA
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State | CA
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Zip | 93101-2509
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Country | US
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Telephone | 805-966-1600
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Fax | 805-966-6700
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | JEFFREY M FIELDS
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Credential |
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Telephone | 205-545-2572
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QE0800X
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Taxonomy Name | Endoscopy Clinic/Center
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License Number | 050000579
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License Number State | CA
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Taxonomy #2
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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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