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General NPI Number Information
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NPI Number | 1912576323
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Entity Type | Organization
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Legal Business Name | EXCLUSIVE SURGERIES NETWORK, LLC
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Dates
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Enumeration Date | 06/21/2021
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Last Update Date | 06/21/2021
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Provider Practice Location Address
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Address Line | 8671 W UNION HILLS DR STE 503
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City | PEORIA
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State | AZ
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Zip | 85382-7005
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Country | US
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Telephone | 833-378-2583
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Fax | 623-321-1095
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Provider Business Mailing Address
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Address Line | 8671 W UNION HILLS DR STE 503
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City | PEORIA
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State | AZ
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Zip | 85382-7005
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Country | US
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Telephone | 833-378-2583
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Fax | 623-321-1095
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Authorized Official
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Title or Position | CEO
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Name | SUZANNE M WEBB
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Credential |
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Telephone | 833-378-2583
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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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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