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General NPI Number Information
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NPI Number | 1881731321
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Entity Type | Organization
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Legal Business Name | DOVER SURGICENTER, LLC
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Dates
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Enumeration Date | 02/01/2007
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Last Update Date | 03/03/2008
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Provider Practice Location Address
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Address Line | 100 SCULL TER
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City | DOVER
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State | DE
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Zip | 19901-3577
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Country | US
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Telephone | 302-270-2798
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Fax |
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Provider Business Mailing Address
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Address Line | 100 SCULL TER
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City | DOVER
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State | DE
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Zip | 19901-3577
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Country | US
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Telephone | 302-270-2798
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. LARRY PICCIONI
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Credential | M.D.
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Telephone | 302-270-2798
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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 | PENDING
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License Number State | DE
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