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General NPI Number Information
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NPI Number | 1477876878
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Entity Type | Organization
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Legal Business Name | EMC EMERGENCY PHYSICIANS
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Dates
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Enumeration Date | 03/12/2010
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Last Update Date | 03/12/2010
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Provider Practice Location Address
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Address Line | 201 E UNIVERSITY PKWY
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City | BALTIMORE
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State | MD
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Zip | 21218-2829
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Country | US
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Telephone | 410-554-2107
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 7206
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City | PHILADELPHIA
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State | PA
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Zip | 19101-7206
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Country | US
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Telephone | 800-355-0808
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. MARK SMITH
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Credential | MD
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Telephone | 410-682-7046
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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 | MD
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