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General NPI Number Information
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NPI Number | 1154593044
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Entity Type | Organization
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Legal Business Name | ER PHYSICIAN GROUP
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Dates
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Enumeration Date | 03/31/2008
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 900 17TH ST
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City | WOODWARD
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State | OK
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Zip | 73801-2448
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Country | US
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Telephone | 580-256-5511
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Fax | 580-254-8404
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Provider Business Mailing Address
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Address Line | PO BOX 13278
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City | PHILADELPHIA
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State | PA
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Zip | 19101-3278
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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 | OWNER
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Name | JAMES MURPHY
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Credential |
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Telephone | 800-355-0808
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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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