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General NPI Number Information
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NPI Number | 1861490120
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Entity Type | Organization
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Legal Business Name | DELMARVA SURGERY CENTER, LLC
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Dates
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Enumeration Date | 07/11/2005
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Last Update Date | 03/25/2010
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Provider Practice Location Address
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Address Line | 641 S SALISBURY BLVD
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City | SALISBURY
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State | MD
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Zip | 21801-5429
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Country | US
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Telephone | 410-543-4590
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Fax | 410-543-8215
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Provider Business Mailing Address
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Address Line | 641 S SALISBURY BLVD
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City | SALISBURY
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State | MD
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Zip | 21801-5429
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Country | US
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Telephone | 410-543-4590
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Fax | 410-543-8215
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Authorized Official
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Title or Position | DIRECTOR, ADMINISTRATIVE SERVICES
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Name | MRS. TERRI LYNN SCOTT
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Credential | CASC
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Telephone | 410-543-4590
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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 | A1359
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License Number State | MD
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