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General NPI Number Information
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NPI Number | 1952571028
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Entity Type | Organization
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Legal Business Name | CORNERSTONE AMBULATORY SURGERY CENTER LLC
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Dates
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Enumeration Date | 03/05/2008
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Last Update Date | 04/24/2009
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Provider Practice Location Address
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Address Line | 3 CORNERSTONE DR SUITE 704
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City | LANGHORNE
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State | PA
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Zip | 19047-1320
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Country | US
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Telephone | 215-752-7080
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Fax | 215-752-7075
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Provider Business Mailing Address
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Address Line | PO BOX 759
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City | LANGHORNE
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State | PA
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Zip | 19047-0759
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Country | US
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Telephone | 215-752-4040
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Fax | 215-752-5348
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ASHOKKUMAR SHIVSHANKAR THANKI
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Credential | MD
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Telephone | 215-752-4040
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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 | 21331501
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License Number State | PA
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