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General NPI Number Information
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NPI Number | 1912094509
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Entity Type | Organization
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Legal Business Name | APOGEE OUTPATIENT SURGERY CENTER
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Dates
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Enumeration Date | 10/06/2006
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Last Update Date | 11/23/2011
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Provider Practice Location Address
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Address Line | 1238 WEST STREET
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City | REDDING
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State | CA
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Zip | 96001
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Country | US
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Telephone | 530-241-5499
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Fax | 530-242-9460
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Provider Business Mailing Address
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Address Line | 1238 WEST STREET
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City | REDDING
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State | CA
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Zip | 96001
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Country | US
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Telephone | 530-241-5499
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Fax | 530-242-9460
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. GARY J WHITEAKER
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Credential |
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Telephone | 530-246-2467
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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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