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General NPI Number Information
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NPI Number | 1215752555
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Entity Type | Organization
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Legal Business Name | EMERGENCY SERVICE ASSOCIATES PA
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Dates
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Enumeration Date | 11/21/2024
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Last Update Date | 11/21/2024
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Provider Practice Location Address
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Address Line | 801 MIDDLEFORD RD
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City | SEAFORD
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State | DE
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Zip | 19973-3636
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Country | US
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Telephone | 302-629-6611
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 69318
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City | BALTIMORE
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State | MD
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Zip | 21264-9318
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Country | US
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Telephone | 443-393-9831
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT ADMINISTRATION
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Name | MICHAEL PIERRE DILLARD
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Credential |
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Telephone | 410-677-6619
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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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