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General NPI Number Information
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NPI Number | 1881319515
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Entity Type | Organization
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Legal Business Name | JEFFERSON AMBULATORY SURGERY SERVICES, LLC
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Dates
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Enumeration Date | 10/05/2022
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Last Update Date | 10/05/2022
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Provider Practice Location Address
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Address Line | 1 CORNERSTONE DR STE 100
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City | LANGHORNE
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State | PA
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Zip | 19047-1321
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Country | US
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Telephone | 215-890-1600
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Fax | 215-890-1601
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Provider Business Mailing Address
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Address Line | 1 CORNERSTONE DR STE 100
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City | LANGHORNE
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State | PA
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Zip | 19047-1321
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Country | US
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Telephone | 215-890-1600
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Fax | 215-890-1601
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Authorized Official
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Title or Position | PRESIDENT
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Name | RICHARD WEBSER
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Credential |
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Telephone | 215-955-7937
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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 |
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License Number State |
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