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General NPI Number Information
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NPI Number | 1497619951
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Entity Type | Organization
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Legal Business Name | OHIO EMERGENCY MEDICINE SERVICES
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Dates
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Enumeration Date | 12/10/2025
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Last Update Date | 12/10/2025
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Provider Practice Location Address
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Address Line | 1995 E STATE ST
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City | SALEM
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State | OH
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Zip | 44460-2423
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Country | US
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Telephone | 330-332-1551
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Fax |
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Provider Business Mailing Address
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Address Line | 5000 AMBASSADOR CAFFERY PKWY BLDG 15
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City | LAFAYETTE
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State | LA
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Zip | 70508-6984
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Country | US
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Telephone | 850-602-0625
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Fax | 850-602-0625
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Authorized Official
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Title or Position | OWNER
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Name | DAVID KIM
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Credential | MD
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Telephone | 516-252-3939
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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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