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General NPI Number Information
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NPI Number | 1043455785
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Entity Type | Organization
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Legal Business Name | EMERGENCY MEDICAL SERVICES OF LORAIN, INC.
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Dates
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Enumeration Date | 12/10/2008
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Last Update Date | 05/16/2022
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Provider Practice Location Address
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Address Line | 3700 KOLBE RD
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City | LORAIN
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State | OH
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Zip | 44053-1611
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Country | US
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Telephone | 440-960-4000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 31115
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City | BELFAST
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State | ME
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Zip | 04915-0140
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Country | US
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Telephone | 800-377-8721
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Fax | 304-523-2241
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Authorized Official
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Title or Position | CFO
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Name | JENNIFER MOORE
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Credential |
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Telephone | 415-435-4591
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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