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General NPI Number Information
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NPI Number | 1073789632
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Entity Type | Organization
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Legal Business Name | GREATER FLORIDA EMERGENCY GROUP LLC
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Dates
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Enumeration Date | 05/05/2008
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Last Update Date | 07/10/2012
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Provider Practice Location Address
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Address Line | 3100 S DOUGLAS RD
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City | CORAL GABLES
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State | FL
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Zip | 33134-6914
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Country | US
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Telephone | 954-933-0377
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Fax | 954-933-0367
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Provider Business Mailing Address
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Address Line | PO BOX 100724
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City | ATLANTA
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State | GA
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Zip | 30384-0724
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Country | US
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Telephone | 770-874-5439
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Fax | 770-874-5483
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Authorized Official
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Title or Position | CHIEF OPERATING OFFICER
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Name | MR. ROGER P MURRAY
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Credential |
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Telephone | 770-874-5400
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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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