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General NPI Number Information
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NPI Number | 1013021310
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Entity Type | Organization
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Legal Business Name | SOUTHWESTERN MICHIGAN EMERGENCY SERVICES, PC
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Dates
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Enumeration Date | 08/17/2006
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Last Update Date | 07/09/2013
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Provider Practice Location Address
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Address Line | 125 S KALAMAZOO MALL SUITE 204
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City | KALAMAZOO
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State | MI
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Zip | 49007-4832
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Country | US
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Telephone | 866-898-7139
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Fax | 616-975-9827
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Provider Business Mailing Address
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Address Line | 125 S KALAMAZOO MALL SUITE 204
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City | KALAMAZOO
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State | MI
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Zip | 49007-4832
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Country | US
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Telephone | 866-898-7139
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Fax | 616-975-9827
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JAMES DEMOSS
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Credential | DO
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Telephone | 269-343-3900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207PE0004X
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Taxonomy Name | Emergency Medical Services (Emergency Medicine) Physician
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License Number |
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License Number State | MI
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