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General NPI Number Information
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NPI Number | 1932102498
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Entity Type | Organization
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Legal Business Name | MERCY SURGERY CENTER, LP
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Dates
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Enumeration Date | 05/27/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2175 ROSALINE AVE STE A
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City | REDDING
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State | CA
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Zip | 96001-2509
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Country | US
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Telephone | 530-225-7400
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Fax | 530-225-7405
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Provider Business Mailing Address
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Address Line | 2175 ROSALINE AVE STE A
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City | REDDING
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State | CA
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Zip | 96001-2509
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Country | US
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Telephone | 530-225-7400
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Fax | 530-225-7405
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. CYNTHIA BANISTER
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Credential |
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Telephone | 530-225-7400
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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 | CA
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