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General NPI Number Information
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NPI Number | 1932183266
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Entity Type | Organization
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Legal Business Name | SINGLE DAY SURGERY CENTER LLC
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Dates
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Enumeration Date | 11/30/2005
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Last Update Date | 11/02/2007
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Provider Practice Location Address
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Address Line | 6950 W DESERT INN RD SUITE 100
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City | LAS VEGAS
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State | NV
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Zip | 89117-3171
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Country | US
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Telephone | 702-368-6000
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Fax | 702-368-6010
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Provider Business Mailing Address
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Address Line | PO BOX 50485
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City | HENDERSON
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State | NV
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Zip | 89016-0485
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Country | US
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Telephone | 702-368-6000
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Fax | 702-368-6010
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | DANIEL KUNIL KIM
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Credential | MD
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Telephone | 702-368-6600
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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 | 3454ASC2
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License Number State | NV
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