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General NPI Number Information
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NPI Number | 1508546755
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Entity Type | Organization
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Legal Business Name | AIMERGENCY CONNECT CARE
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Dates
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Enumeration Date | 07/21/2023
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Last Update Date | 11/29/2024
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Provider Practice Location Address
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Address Line | 613 S HIGHWAY 78 STE 200
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City | WYLIE
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State | TX
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Zip | 75098-5525
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Country | US
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Telephone | 561-231-0536
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 132
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City | COVINGTON
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State | GA
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Zip | 30015-0132
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Country | US
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Telephone | 954-686-6577
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Fax | 954-245-0458
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Authorized Official
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Title or Position | PRESIDENT
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Name | ALEXIS DALY
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Credential |
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Telephone | 954-686-6577
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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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 | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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