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General NPI Number Information
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NPI Number | 1386884211
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Entity Type | Organization
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Legal Business Name | HARTSELLE EMERGENCY SERVICES LLC
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Dates
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Enumeration Date | 03/05/2009
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Last Update Date | 09/04/2009
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Provider Practice Location Address
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Address Line | 42024 HIGHWAY 195
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City | HALEYVILLE
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State | AL
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Zip | 35565-7054
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Country | US
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Telephone | 205-485-7371
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 863535
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City | ORLANDO
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State | FL
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Zip | 32886-3535
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Country | US
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Telephone | 800-514-1494
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | ROBERT J BUNKER
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Credential |
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Telephone | 904-805-1300
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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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