Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Ambulatory Surgical |
261QA1903X | 49 | Ambulatory Surgical Center |
| NPI # | 1093710873 |
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| LBN Legal business name | DUBLIN SURGICAL CENTER, LLC | ||||||||||||||||||||
| Authorized official | TERI PURR - (FACILITY ADMINISTRATOR) | ||||||||||||||||||||
| Entity | Organization | ||||||||||||||||||||
| Organization subpart 1 | No | ||||||||||||||||||||
| Enumeration date | 06/17/2005 | ||||||||||||||||||||
| Last updated | 08/22/2020 - About 6 years ago | ||||||||||||||||||||
| Identifiers |
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