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NPI 1114955010

NPI 1114955010 : EMERGENCY CARE SERVICES OF PENNSYLVANIA, P.C. : LANGHORNE, PA

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General NPI Number Information
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    NPI Number           |    1114955010
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    Entity Type          |    Organization 
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    Legal Business Name  |    EMERGENCY CARE SERVICES OF PENNSYLVANIA, P.C. 
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Dates
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    Enumeration Date     |    06/29/2006
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    Last Update Date     |    08/17/2018
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Provider Practice Location Address
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    Address Line         |    1201 LANGHORNE-NEWTON ROAD 
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    City                 |    LANGHORNE
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    State                |    PA
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    Zip                  |    19047-1295
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    Country              |    US
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    Telephone            |    215-710-2000
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 635111 
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    City                 |    CINCINNATI
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    State                |    OH
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    Zip                  |    45263-5111
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    DIRECTOR
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    Name                 |    DR. JAMES J FLOWERS 
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    Credential           |    D.O.
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    Telephone            |    856-848-3817
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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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Taxonomy #2
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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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