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General NPI Number Information
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NPI Number | 1114168077
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Entity Type | Organization
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Legal Business Name | NORTH CAROLINA EM-1 MEDICAL SERVICES, PC
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Dates
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Enumeration Date | 03/23/2009
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Last Update Date | 03/23/2009
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Provider Practice Location Address
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Address Line | 401 NORTH MAIN STREET
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City | KENANSVILLE
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State | NC
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Zip | 28349
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Country | US
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Telephone | 910-296-0941
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Fax | 800-305-3233
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Provider Business Mailing Address
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Address Line | 815 S PALAFOX ST
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City | PENSACOLA
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State | FL
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Zip | 32502-5960
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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 | PRESIDENT
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Name | DR. TERRY R MEADOWS
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Credential | MD
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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