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General NPI Number Information
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NPI Number | 1871390625
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Entity Type | Organization
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Legal Business Name | CVP ASC HOLDINGS, LLC
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Dates
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Enumeration Date | 02/28/2025
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Last Update Date | 02/28/2025
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Provider Practice Location Address
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Address Line | 5950 INNOVATION DR
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City | MIDDLETOWN
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State | OH
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Zip | 45005-5170
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Country | US
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Telephone | 513-984-5133
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Fax | 513-984-4240
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Provider Business Mailing Address
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Address Line | 15933 CLAYTON RD STE 210
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City | BALLWIN
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State | MO
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Zip | 63011-2172
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Country | US
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Telephone | 616-588-6593
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Fax | 616-383-0610
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Authorized Official
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Title or Position | PRESIDENT
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Name | DANIEL MILLER
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Credential | MD
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Telephone | 513-234-8773
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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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