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General NPI Number Information
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NPI Number | 1932256278
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Entity Type | Organization
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Legal Business Name | THE SURGERY CENTER OF SALEM COUNTY LLC
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Dates
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Enumeration Date | 01/05/2007
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Last Update Date | 01/31/2008
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Provider Practice Location Address
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Address Line | 336 WOODSTOWN RD.
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City | SALEM
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State | NJ
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Zip | 08079
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Country | US
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Telephone | 856-339-4220
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Fax | 856-339-4286
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Provider Business Mailing Address
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Address Line | 7100 COMMERCE WAY SUITE 180
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City | BRENTWOOD
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State | TN
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Zip | 37027-2829
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF PROVIDER ENROLLMENT
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Name | DEBBIE T BREWER
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Credential |
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Telephone | 877-892-9813
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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 | 22463
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License Number State | NJ
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