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General NPI Number Information
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NPI Number | 1285760371
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Entity Type | Organization
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Legal Business Name | EMERGENCY MEDICAL ASSOCIATES, PSC
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Dates
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Enumeration Date | 02/26/2007
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Last Update Date | 07/09/2020
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Provider Practice Location Address
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Address Line | 4001 DUTCHMANS LN
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City | LOUISVILLE
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State | KY
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Zip | 40207-4714
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Country | US
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Telephone | 502-895-4607
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Fax | 502-895-4586
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Provider Business Mailing Address
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Address Line | 29478 NETWORK PL
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City | CHICAGO
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State | IL
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Zip | 60673-1294
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Country | US
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Telephone | 502-895-4607
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Fax |
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Authorized Official
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Title or Position | MD
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Name | DR. STEPHEN CAWOOD
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Credential | MD
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Telephone | 502-895-4607
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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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 | 2080P0204X
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Taxonomy Name | Pediatric Emergency Medicine (Pediatrics) Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #5
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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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