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General NPI Number Information
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NPI Number | 1235447178
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Entity Type | Organization
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Legal Business Name | MCEWAN EMERGENCY PHYSICIANS
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Dates
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Enumeration Date | 09/14/2010
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Last Update Date | 09/14/2010
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Provider Practice Location Address
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Address Line | 703 N MCEWAN ST
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City | CLARE
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State | MI
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Zip | 48617-1440
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Country | US
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Telephone | 989-802-5000
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Fax | 989-802-5120
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Provider Business Mailing Address
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Address Line | 815 S PALAFOX ST SUITE 300
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City | PENSACOLA
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State | FL
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Zip | 32502-5960
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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 | EXEC VICE PRES, EPP, GENERAL PARTNR
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Name | JOSEPH W TAYLOR
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Credential |
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Telephone | 800-444-7009
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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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