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General NPI Number Information
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NPI Number | 1447365796
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Entity Type | Organization
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Legal Business Name | EMERGENCY MEDICINE SPECIALISTS, P.C.
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Dates
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Enumeration Date | 08/20/2006
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Last Update Date | 01/23/2025
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Provider Practice Location Address
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Address Line | 1000 E MAIN ST
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City | DANVILLE
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State | IN
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Zip | 46122-1948
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Country | US
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Telephone | 317-745-4451
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Fax |
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Provider Business Mailing Address
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Address Line | 7945 HUGHES RD
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City | NORTH SALEM
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State | IN
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Zip | 46165-9478
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Country | US
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Telephone | 317-502-5567
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. THOMAS ALAN RICHARDSON
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Credential | M.D.
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Telephone | 317-502-5567
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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 | 50003498A
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License Number State | IN
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