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General NPI Number Information
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NPI Number | 1053583948
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Entity Type | Organization
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Legal Business Name | WEST ROAD EMERGENCY PHYSICIANS
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Dates
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Enumeration Date | 03/31/2008
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Last Update Date | 05/08/2009
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Provider Practice Location Address
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Address Line | 117 EAST 19TH ST.
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City | ROSWELL
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State | NM
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Zip | 88201-5151
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Country | US
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Telephone | 575-627-7007
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Fax |
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Provider Business Mailing Address
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Address Line | P.O. BOX 98668
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City | LAS VEGAS
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State | NV
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Zip | 89193
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Country | US
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Telephone | 800-444-7009
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Fax | 800-305-3233
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Authorized Official
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Title or Position | EXECUTIVE VICE PRESIDENT, EMCARE PH
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Name | JAMES L. MURPHY
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Credential |
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Telephone | 800-444-7009
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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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