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General NPI Number Information
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NPI Number | 1558363838
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Entity Type | Organization
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Legal Business Name | CARONDELET EMERGENCY PHYSICIANS INC
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Dates
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Enumeration Date | 06/01/2005
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Last Update Date | 04/25/2011
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Provider Practice Location Address
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Address Line | 1000 CARONDELET DR
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City | KANSAS CITY
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State | MO
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Zip | 64114-4673
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Country | US
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Telephone | 816-942-4400
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 11347
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City | DAYTONA BEACH
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State | FL
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Zip | 32120-1347
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Country | US
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Telephone | 386-274-7800
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Fax | 386-274-7801
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Authorized Official
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Title or Position | PRESIDNET
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Name | PATRICK GREENWOOD
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Credential | MD
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Telephone | 816-942-4400
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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 | MD100341
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License Number State | MO
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