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General NPI Number Information
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NPI Number | 1992168785
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Entity Type | Organization
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Legal Business Name | SURGICAL INSTITUTE OF TUCSON, LLC
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Dates
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Enumeration Date | 03/30/2016
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Last Update Date | 03/30/2016
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Provider Practice Location Address
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Address Line | 717 S ALVERNON WAY
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City | TUCSON
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State | AZ
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Zip | 85711-5351
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Country | US
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Telephone | 520-204-1495
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Fax | 623-218-1215
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Provider Business Mailing Address
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Address Line | 4787 E CAMP LOWELL DR
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City | TUCSON
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State | AZ
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Zip | 85712-1256
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Country | US
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Telephone | 520-204-1495
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Fax | 623-218-1215
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. KAI-UWE LEWANDROWSKI
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Credential | M.D.
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Telephone | 520-204-1495
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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 | MED6545
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License Number State | AZ
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