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General NPI Number Information
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NPI Number | 1962467951
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Entity Type | Organization
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Legal Business Name | GADSDEN SURGERY CENTER LP
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Dates
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Enumeration Date | 04/20/2006
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Last Update Date | 08/12/2024
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Provider Practice Location Address
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Address Line | 418 S 5TH ST
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City | GADSDEN
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State | AL
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Zip | 35901-5102
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Country | US
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Telephone | 256-543-1253
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Fax |
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Provider Business Mailing Address
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Address Line | 418 S 5TH ST
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City | GADSDEN
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State | AL
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Zip | 35901-5102
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF PROVIDER ENROLLMENT
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Name | KRISTY MUSIC
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Credential |
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Telephone | 615-465-7377
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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 |
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License Number State |
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