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General NPI Number Information
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NPI Number | 1922514421
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Entity Type | Organization
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Legal Business Name | WESTOWN AMBULATORY SURGERY CENTER
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Dates
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Enumeration Date | 12/19/2017
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 1300 37TH ST STE 3
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City | WEST DES MOINES
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State | IA
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Zip | 50266-1900
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Country | US
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Telephone | 515-267-1819
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Fax | 515-457-9180
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Provider Business Mailing Address
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Address Line | 1300 37TH ST STE 3
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City | WEST DES MOINES
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State | IA
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Zip | 50266-1900
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Country | US
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Telephone | 515-267-1819
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Fax | 515-457-9180
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Authorized Official
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Title or Position | OWNER
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Name | DR. CHRISTIAN P LEDET
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Credential | MD
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Telephone | 515-267-1819
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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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