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General NPI Number Information
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NPI Number | 1558386474
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Entity Type | Organization
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Legal Business Name | EMERGENCY PHYSICIANS OF MIDWEST CITY, LLC
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Dates
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Enumeration Date | 07/13/2006
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Last Update Date | 03/03/2025
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Provider Practice Location Address
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Address Line | 700 NE 13TH ST
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City | OKLAHOMA CITY
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State | OK
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Zip | 73104-5004
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Country | US
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Telephone | 405-271-3667
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 734430
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City | DALLAS
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State | TX
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Zip | 75373-4430
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CO-OWNER / MANAGING MEMBER
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Name | MICHAEL V KALCICH
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Credential | M.D.
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Telephone | 877-485-4474
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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 |
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