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General NPI Number Information
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NPI Number | 1356634737
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Entity Type | Organization
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Legal Business Name | SAINT FRANCIS EMERGENCY MEDICAL GROUP, INC.
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Dates
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Enumeration Date | 05/18/2011
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Last Update Date | 11/09/2016
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Provider Practice Location Address
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Address Line | 114 WOODLAND ST EMERGENCY MEDICINE
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City | HARTFORD
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State | CT
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Zip | 06105-1208
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Country | US
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Telephone | 860-714-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 1000 ASYLUM AVE SUITE 4309
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City | HARTFORD
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State | CT
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Zip | 06105-1770
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Country | US
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Telephone | 860-714-1325
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOHN F RODIS
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Credential | M.D.
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Telephone | 860-714-5387
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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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