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General NPI Number Information
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NPI Number | 1629296728
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Entity Type | Organization
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Legal Business Name | EMSC, LLC
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Dates
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Enumeration Date | 04/23/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1985 COUGAR TRL
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City | MCPHERSON
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State | KS
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Zip | 67460-8111
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Country | US
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Telephone | 316-749-4726
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Fax | 316-749-4760
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Provider Business Mailing Address
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Address Line | 1985 COUGAR TRL
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City | MCPHERSON
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State | KS
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Zip | 67460-8111
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Country | US
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Telephone | 316-749-4726
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Fax | 316-749-4760
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Authorized Official
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Title or Position | PARTNER
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Name | DR. MARTIN SELLBERG
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Credential | M.D.
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Telephone | 316-619-4450
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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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