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General NPI Number Information
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NPI Number | 1255624706
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Entity Type | Organization
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Legal Business Name | ELWELL FERRY INPATIENT SERVICES
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Dates
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Enumeration Date | 05/17/2011
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Last Update Date | 05/17/2011
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Provider Practice Location Address
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Address Line | 501 S POPLAR ST
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City | ELIZABETHTOWN
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State | NC
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Zip | 28337-9375
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Country | US
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Telephone | 910-862-5100
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Fax |
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Provider Business Mailing Address
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Address Line | P.O. BOX 37825
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City | PHILADELPHIA
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State | PA
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Zip | 19101-7825
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE VICE PRESIDENT
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Name | JOSEPH 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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