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General NPI Number Information
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NPI Number | 1386871218
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Entity Type | Organization
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Legal Business Name | NEW MEXICO EM-I MEDICAL SERVICES, PC
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Dates
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Enumeration Date | 06/18/2009
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Last Update Date | 01/07/2013
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Provider Practice Location Address
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Address Line | 42121 US HWY 70
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City | PORTALES
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State | NM
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Zip | 88130-0868
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Country | US
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Telephone | 575-359-1800
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Fax |
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Provider Business Mailing Address
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Address Line | 815 S PALAFOX ST 3RD FLOOR
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City | PENSACOLA
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State | FL
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Zip | 32502-5960
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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 | PRESIDENT
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Name | GREGORY J. BYRNE, MD
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Credential |
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Telephone | 800-444-7009
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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