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General NPI Number Information
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NPI Number | 1992242192
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Entity Type | Organization
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Legal Business Name | UNIVERSAL CARE SURGERY CENTER, LLC
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Dates
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Enumeration Date | 01/25/2017
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Last Update Date | 02/08/2017
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Provider Practice Location Address
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Address Line | 10866 RIVERSIDE DR
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City | NORTH HOLLYWOOD
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State | CA
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Zip | 91602-2236
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Country | US
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Telephone | 818-980-8300
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Fax | 818-980-8301
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Provider Business Mailing Address
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Address Line | 10866 RIVERSIDE DR
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City | NORTH HOLLYWOOD
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State | CA
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Zip | 91602-2236
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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 | ADMINISTRATOR
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Name | MR. BORIS TRIPOLSKI
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Credential |
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Telephone | 818-980-8300
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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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