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General NPI Number Information
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NPI Number | 1861907107
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Entity Type | Organization
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Legal Business Name | UNITED SURGERY CENTER-ORANGE LLC
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Dates
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Enumeration Date | 12/08/2017
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Last Update Date | 12/08/2017
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Provider Practice Location Address
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Address Line | 1140 W LA VETA AVE STE 550
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City | ORANGE
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State | CA
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Zip | 92868-4214
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Country | US
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Telephone | 714-835-3636
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Fax | 714-835-0315
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Provider Business Mailing Address
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Address Line | 25150 HANCOCK AVE STE 208
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City | MURRIETA
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State | CA
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Zip | 92562-5989
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Country | US
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Telephone | 951-764-9396
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF BUSINESS OPERATIONS
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Name | KENNETH JONES
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Credential |
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Telephone | 951-764-9396
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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 |
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