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General NPI Number Information
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NPI Number | 1265781710
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Entity Type | Organization
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Legal Business Name | FLORIDA EM-I MEDICAL SERVICES PA
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Dates
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Enumeration Date | 08/30/2012
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Last Update Date | 08/30/2012
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Provider Practice Location Address
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Address Line | 449 W 23RD ST
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City | PANAMA CITY
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State | FL
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Zip | 32405-4507
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Country | US
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Telephone | 214-712-2790
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Fax | 214-712-2444
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Provider Business Mailing Address
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Address Line | 13737 NOEL ROAD SUITE 1600
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City | DALLAS
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State | TX
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Zip | 75240
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Country | US
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Telephone | 214-712-2790
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Fax | 214-712-2444
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Authorized Official
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Title or Position | OWNER
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Name | DR. GREGORY J BYRNE
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Credential | MD
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Telephone | 214-712-2790
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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