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General NPI Number Information
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NPI Number | 1093771222
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Entity Type | Organization
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Legal Business Name | NORTHRIDGE EMERGENCY MEDICAL GROUP
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Dates
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Enumeration Date | 04/25/2006
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Last Update Date | 03/28/2014
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Provider Practice Location Address
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Address Line | 18300 ROSCOE BLVD
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City | NORTHRIDGE
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State | CA
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Zip | 91325-4105
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Country | US
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Telephone | 818-885-8500
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1526
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City | ARCADIA
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State | CA
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Zip | 91077-1526
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Country | US
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Telephone | 626-447-0296
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Fax | 626-447-6057
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | STEVEN E. JONES
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Credential | M.D.
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Telephone | 626-447-0296
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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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