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General NPI Number Information
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NPI Number | 1861825986
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Entity Type | Organization
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Legal Business Name | VADNAIS HEIGHTS SURGERY CENTER LLC
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Dates
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Enumeration Date | 08/13/2013
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Last Update Date | 06/10/2025
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Provider Practice Location Address
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Address Line | 3580 STREET STE 200
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City | VADNAIS HEIGHTS
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State | MN
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Zip | 55127-7135
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Country | US
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Telephone | 651-968-5790
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Fax | 651-968-5792
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Provider Business Mailing Address
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Address Line | 3580 STREET STE 200
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City | VADNAIS HEIGHTS
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State | MN
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Zip | 55127-7135
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Country | US
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Telephone | 651-968-5790
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Fax | 651-968-5792
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Authorized Official
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Title or Position | CFO
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Name | JOHN BIEN
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Credential |
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Telephone | 651-968-5870
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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 | 375357
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License Number State | MN
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