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General NPI Number Information
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NPI Number | 1881376218
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Entity Type | Organization
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Legal Business Name | REDBUD SURGERY CENTER, LLC
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Dates
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Enumeration Date | 08/04/2023
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Last Update Date | 08/04/2023
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Provider Practice Location Address
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Address Line | 6818 AUSTIN CENTER BLVD STE 200
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City | AUSTIN
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State | TX
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Zip | 78731-3100
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Country | US
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Telephone | 214-773-1470
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Fax |
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Provider Business Mailing Address
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Address Line | 1101 W 34TH ST STE 321
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City | AUSTIN
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State | TX
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Zip | 78705-1907
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Country | US
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Telephone | 214-773-1470
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. JEFF POTTER
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Credential |
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Telephone | 214-773-1470
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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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