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General NPI Number Information
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NPI Number | 1962456889
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Entity Type | Organization
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Legal Business Name | NORTHWEST TUCSON SURGERY CENTER LP
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Dates
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Enumeration Date | 05/22/2006
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Last Update Date | 07/15/2008
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Provider Practice Location Address
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Address Line | 6130 N LA CHOLLA BLVD
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City | TUCSON
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State | AZ
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Zip | 85741-3557
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Country | US
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Telephone | 520-229-2220
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Fax | 520-229-2221
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Provider Business Mailing Address
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Address Line | PO BOX 840050
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City | DALLAS
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State | TX
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Zip | 75284-0050
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Country | US
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Telephone | 520-229-2220
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Fax | 520-229-2221
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Authorized Official
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Title or Position | DIRECTOR, BUSINESS OFFICE SERVICES
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Name | LAURIE HOLTSFORD
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Credential |
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Telephone | 615-465-7466
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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 | OSC-3736
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License Number State | AZ
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