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General NPI Number Information
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NPI Number | 1891536991
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Entity Type | Organization
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Legal Business Name | AVON SURGICAL CENTERS, LLC
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Dates
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Enumeration Date | 06/03/2024
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Last Update Date | 06/03/2024
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Provider Practice Location Address
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Address Line | 10825 W MCDOWELL RD STE 320
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City | AVONDALE
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State | AZ
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Zip | 85392-5228
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Country | US
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Telephone | 520-278-5199
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 5068
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City | SUN CITY WEST
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State | AZ
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Zip | 85376-5068
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Country | US
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Telephone | 623-777-4747
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | HEATHER SPENCER
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Credential |
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Telephone | 602-435-5172
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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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