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General NPI Number Information
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NPI Number | 1972878726
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Entity Type | Organization
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Legal Business Name | WILSON CREEK SURGICAL CENTER, LLC
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Dates
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Enumeration Date | 03/13/2012
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Last Update Date | 08/24/2020
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Provider Practice Location Address
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Address Line | 8855 SYNERGY DR
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City | MCKINNEY
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State | TX
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Zip | 75070-6503
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Country | US
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Telephone | 972-632-3800
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Fax | 972-632-3801
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Provider Business Mailing Address
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Address Line | 8855 SYNERGY DR
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City | MCKINNEY
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State | TX
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Zip | 75070-6503
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Country | US
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Telephone | 972-632-3800
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Fax | 972-632-3801
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Authorized Official
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Title or Position | CAO
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Name | MR. SEAN SALYER
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Credential | MBA
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Telephone | 972-632-3800
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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 | TX
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