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General NPI Number Information
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NPI Number | 1376428763
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Entity Type | Organization
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Legal Business Name | SMD EMS GROUP LLC
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Dates
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Enumeration Date | 08/06/2025
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Last Update Date | 08/06/2025
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Provider Practice Location Address
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Address Line | 224 NW CRANE AVE
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City | MADISON
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State | FL
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Zip | 32340-1400
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Country | US
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Telephone | 229-236-0831
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Fax | 229-236-0871
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Provider Business Mailing Address
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Address Line | 100 S MADISON ST
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City | THOMASVILLE
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State | GA
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Zip | 31792-5473
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Country | US
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Telephone | 229-236-0831
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Fax | 229-236-0871
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Authorized Official
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Title or Position | CFO
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Name | STEPHANIE FLETCHER
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Credential |
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Telephone | 229-238-0831
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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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