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General NPI Number Information
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NPI Number | 1578729000
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Entity Type | Organization
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Legal Business Name | D.M.C. HOSPITALIST, P.C.
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Dates
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Enumeration Date | 08/04/2008
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Last Update Date | 02/21/2020
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Provider Practice Location Address
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Address Line | 117 E 19TH ST
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City | ROSWELL
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State | NM
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Zip | 88201-5151
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Country | US
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Telephone | 856-858-6650
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Fax |
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Provider Business Mailing Address
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Address Line | 1765 E NINE MILE RD STE 1-229
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City | PENSACOLA
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State | FL
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Zip | 32514-5479
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Country | US
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Telephone | 410-429-6115
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. KURT ZUMWALT
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Credential |
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Telephone | 410-429-6115
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology 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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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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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