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General NPI Number Information
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NPI Number | 1962454405
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Entity Type | Organization
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Legal Business Name | FIRST CHOICE SAME DAY SUGERY CENTER LLC
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Dates
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Enumeration Date | 05/16/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2596 F RD
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City | GRAND JUNCTION
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State | CO
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Zip | 81505-1443
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Country | US
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Telephone | 970-254-2660
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Fax | 970-254-2665
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Provider Business Mailing Address
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Address Line | 2596 F RD
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City | GRAND JUNCTION
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State | CO
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Zip | 81505-1443
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Country | US
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Telephone | 970-254-2660
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Fax | 970-254-2665
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. LEE ANN SHOBE
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Credential |
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Telephone | 970-254-2660
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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 | 0896
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License Number State | CO
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