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General NPI Number Information
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NPI Number | 1093032963
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Entity Type | Organization
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Legal Business Name | BAY AREA EMERGENCY PARTNERS
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Dates
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Enumeration Date | 04/30/2010
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Last Update Date | 10/21/2025
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Provider Practice Location Address
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Address Line | 129 CIRCLE WAY ST STE A
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City | LAKE JACKSON
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State | TX
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Zip | 77566-5239
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Country | US
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Telephone | 281-236-0563
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 4205
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City | LAKE JACKSON
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State | TX
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Zip | 77566-2205
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Country | US
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Telephone | 281-236-0563
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | COREY H ANDERSON
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Credential |
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Telephone | 281-236-0563
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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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