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General NPI Number Information
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NPI Number | 1134294317
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Entity Type | Organization
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Legal Business Name | PERMIAN EMERGENCY MANAGEMENT PLLC
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Dates
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Enumeration Date | 11/22/2006
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Last Update Date | 05/14/2013
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Provider Practice Location Address
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Address Line | 2200 W ILLINOIS AVE
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City | MIDLAND
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State | TX
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Zip | 79701-6407
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Country | US
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Telephone | 432-685-1111
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 960439
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City | OKLAHOMA CITY
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State | OK
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Zip | 73196-0439
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Country | US
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Telephone | 800-684-0052
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Fax | 405-844-1794
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Authorized Official
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Title or Position | DIRECTOR
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Name | LAWRENCE A WILSON
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Credential |
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Telephone | 432-686-5252
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number |
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License Number State |
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