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General NPI Number Information
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NPI Number | 1952624082
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Entity Type | Organization
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Legal Business Name | SURGICAL CARE ASSOCIATES OF ST GEORGE
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Dates
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Enumeration Date | 03/03/2010
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Last Update Date | 01/06/2014
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Provider Practice Location Address
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Address Line | 1054 E RIVERSIDE DR
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City | SAINT GEORGE
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State | UT
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Zip | 84790-4825
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Country | US
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Telephone | 435-215-0004
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Fax | 435-215-0729
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Provider Business Mailing Address
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Address Line | PO BOX 910744
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City | SAINT GEORGE
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State | UT
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Zip | 84791-0744
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Country | US
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Telephone | 435-215-0004
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Fax | 435-215-0729
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. BHUPENDRA C PATEL
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Credential | MD
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Telephone | 435-215-0004
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 188029-1205
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License Number State | UT
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