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General NPI Number Information
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NPI Number | 1376979930
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Entity Type | Organization
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Legal Business Name | NORTHWEST HOSPITALIST PHYSICIANS, LLP
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Dates
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Enumeration Date | 09/16/2013
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Last Update Date | 09/16/2013
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Provider Practice Location Address
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Address Line | 700 W GROVE ST
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City | EL DORADO
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State | AR
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Zip | 71730-4416
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Country | US
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Telephone | 870-864-3200
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Fax |
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Provider Business Mailing Address
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Address Line | 75 REMIT DR SUITE 1122
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City | CHICAGO
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State | IL
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Zip | 60675-1122
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Country | US
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Telephone | 866-916-5259
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Fax | 231-922-4030
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Authorized Official
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Title or Position | LLP MANGING PARTNER
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Name | DERIK K KING
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Credential |
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Telephone | 866-916-5259
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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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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number |
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License Number State |
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