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General NPI Number Information
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NPI Number | 1952311847
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Entity Type | Organization
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Legal Business Name | ADVANCED SURGERY, PC
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Dates
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Enumeration Date | 08/09/2006
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Last Update Date | 08/28/2024
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Provider Practice Location Address
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Address Line | 9715 MEDICAL CENTER DR STE 233
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City | ROCKVILLE
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State | MD
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Zip | 20850-6302
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Country | US
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Telephone | 240-425-4575
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Fax | 240-425-4576
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Provider Business Mailing Address
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Address Line | 9715 MEDICAL CENTER DR STE 233
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City | ROCKVILLE
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State | MD
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Zip | 20850-6302
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Country | US
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Telephone | 240-425-4575
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Fax | 301-738-1593
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | SUE LAUF
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Credential |
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Telephone | 240-425-4575
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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