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General NPI Number Information
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NPI Number | 1194708073
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Entity Type | Organization
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Legal Business Name | EMERGENCY MEDICAL SPECIALISTS, PC
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Dates
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Enumeration Date | 11/23/2005
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Last Update Date | 05/16/2025
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Provider Practice Location Address
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Address Line | 1400 E BOULDER ST
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City | COLORADO SPRINGS
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State | CO
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Zip | 80909-5533
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Country | US
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Telephone | 719-884-2000
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Fax |
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Provider Business Mailing Address
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Address Line | P.O. BOX 173891
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City | DENVER
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State | CO
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Zip | 80217-9294
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Country | US
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Telephone | 719-884-2000
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | GEORGE HERTNER
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Credential | MD
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Telephone | 719-884-2000
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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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