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General NPI Number Information
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NPI Number | 1386235331
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Entity Type | Organization
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Legal Business Name | MONROE EMERGENCY PHYSICIANS LLC
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Dates
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Enumeration Date | 02/02/2021
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Last Update Date | 12/06/2023
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Provider Practice Location Address
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Address Line | 309 JACKSON ST
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City | MONROE
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State | LA
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Zip | 71201-7407
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Country | US
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Telephone | 404-500-8147
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Fax |
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Provider Business Mailing Address
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Address Line | 400 GALLERIA PKWY SE STE 1755
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City | ATLANTA
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State | GA
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Zip | 30339-5934
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. BOYKIN ROBINSON
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Credential | MD
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Telephone | 404-500-8147
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207PE0004X
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Taxonomy Name | Emergency Medical Services (Emergency Medicine) Physician
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License Number |
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License Number State |
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