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General NPI Number Information
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NPI Number | 1962871160
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Entity Type | Organization
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Legal Business Name | SURGERY PARTNERS
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Dates
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Enumeration Date | 09/17/2015
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Last Update Date | 09/17/2015
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Provider Practice Location Address
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Address Line | 3920 BEE RIDGE RD BLDG E SUITE F
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City | SARASOTA
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State | FL
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Zip | 34233-1207
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Country | US
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Telephone | 941-926-2270
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Fax |
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Provider Business Mailing Address
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Address Line | 5426 BAY CENTER DR SUITE 300
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City | TAMPA
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State | FL
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Zip | 33609-3444
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Country | US
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Telephone | 813-569-6500
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Fax |
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | ROSS ANATRA
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Credential |
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Telephone | 941-926-3220
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number | ARNP9255637
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License Number State | FL
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