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General NPI Number Information
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NPI Number | 1336582014
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Entity Type | Organization
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Legal Business Name | MERCY EMERGENCY PHYSICIANS INC
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Dates
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Enumeration Date | 04/11/2013
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Last Update Date | 04/11/2013
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Provider Practice Location Address
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Address Line | 4101 EDWARDS RD
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City | CINCINNATI
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State | OH
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Zip | 45209-1609
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Country | US
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Telephone | 800-875-0136
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Fax | 937-619-4150
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Provider Business Mailing Address
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Address Line | 4750 HEMPSTEAD STATION DR
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City | KETTERING
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State | OH
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Zip | 45429-5164
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Country | US
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Telephone | 800-875-0136
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Fax | 937-619-4150
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. WILLIAM COLE JR.
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Credential | MD
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Telephone | 800-875-0136
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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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