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General NPI Number Information
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NPI Number | 1487892378
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Entity Type | Organization
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Legal Business Name | UPTOWN EMERGENCY PHYSICIANS, LLP
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Dates
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Enumeration Date | 01/30/2009
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Last Update Date | 05/10/2021
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Provider Practice Location Address
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Address Line | 6800 STATE ROUTE 162
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City | MARYVILLE
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State | IL
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Zip | 62062-8500
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Country | US
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Telephone | 618-288-5711
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Fax | 618-288-4088
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Provider Business Mailing Address
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Address Line | 200 CORPORATE BLVD
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City | LAFAYETTE
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State | LA
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Zip | 70508-3870
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Country | US
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Telephone | 800-893-9698
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Fax |
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Authorized Official
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Title or Position | LLP MANAGING PARTNER
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Name | DR. CHRISTOPHER LIPSMEYER
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Credential | MD
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Telephone | 800-893-9698
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #2
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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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Taxonomy #3
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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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