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General NPI Number Information
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NPI Number | 1982017299
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Entity Type | Organization
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Legal Business Name | LAKE POINTE SURGERY CENTER
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Dates
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Enumeration Date | 06/04/2014
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Last Update Date | 06/04/2014
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Provider Practice Location Address
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Address Line | 16614 CREEK BEND DR
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City | SUGAR LAND
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State | TX
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Zip | 77478-4578
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Country | US
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Telephone | 832-999-4300
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Fax | 832-999-4320
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Provider Business Mailing Address
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Address Line | 16614 CREEK BEND DR
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City | SUGAR LAND
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State | TX
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Zip | 77478-4578
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Country | US
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Telephone | 832-999-4300
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Fax | 832-999-4320
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | JOHN NGUYEN
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Credential | M.D.
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Telephone | 832-999-4300
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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 | 130149
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License Number State | TX
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