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General NPI Number Information
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NPI Number | 1912158684
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Entity Type | Organization
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Legal Business Name | SURGCENTER OF BEL AIR
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Dates
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Enumeration Date | 09/30/2008
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Last Update Date | 09/30/2008
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Provider Practice Location Address
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Address Line | 209 THOMAS ST
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City | BEL AIR
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State | MD
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Zip | 21014-3649
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Country | US
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Telephone | 410-404-3492
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Fax |
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Provider Business Mailing Address
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Address Line | 209 THOMAS ST
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City | BEL AIR
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State | MD
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Zip | 21014-3649
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Country | US
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Telephone | 410-404-3492
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Fax |
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Authorized Official
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Title or Position | NURSE ADMINISTRATOR
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Name | JANICE STEWART
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Credential |
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Telephone | 410-404-3492
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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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