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General NPI Number Information
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NPI Number | 1700810470
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Entity Type | Organization
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Legal Business Name | TRI-COUNTY EMERGENCY PHYSICIANS, LTD
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Dates
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Enumeration Date | 07/10/2006
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Last Update Date | 07/03/2025
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Provider Practice Location Address
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Address Line | 450 W HIGHWAY 22
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City | BARRINGTON
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State | IL
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Zip | 60010-1919
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Country | US
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Telephone | 847-381-9600
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 920128
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City | DALLAS
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State | TX
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Zip | 75392-0128
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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 | PRESIDENT
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Name | MARK THOMPSON
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Credential | MD
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Telephone | 815-479-8020
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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 | 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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