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General NPI Number Information
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NPI Number | 1003433384
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Entity Type | Organization
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Legal Business Name | EMERGENCY MEDICINE SPECIALISTS, INC.
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Dates
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Enumeration Date | 07/02/2020
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Last Update Date | 05/15/2024
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Provider Practice Location Address
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Address Line | 1 KETTERING WAY
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City | PIQUA
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State | OH
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Zip | 45356-4109
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Country | US
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Telephone | 937-916-2625
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Fax |
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Provider Business Mailing Address
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Address Line | 3131 NEWMARK DR STE 220
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City | MIAMISBURG
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State | OH
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Zip | 45342-5400
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Country | US
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Telephone | 937-438-8910
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | WILLIAM BRADY
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Credential | MD
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Telephone | 937-438-8910
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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