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General NPI Number Information
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NPI Number | 1700829074
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Entity Type | Organization
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Legal Business Name | DELPHI EMERGENCY PHYSICIAN SERVICES
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Dates
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Enumeration Date | 06/14/2006
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Last Update Date | 12/08/2008
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Provider Practice Location Address
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Address Line | 191 N MAIN ST
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City | WELLSVILLE
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State | NY
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Zip | 14895-1150
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Country | US
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Telephone | 585-247-9040
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Fax | 585-697-0221
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Provider Business Mailing Address
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Address Line | 1160 CHILI AVENUE STE. 200
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City | ROCHESTER
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State | NY
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Zip | 14624-3035
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Country | US
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Telephone | 585-247-9040
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Fax | 585-697-0221
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Authorized Official
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Title or Position | BILLING/CODING MANAGER
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Name | DIANE DAVIS
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Credential | RN, BSN.
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Telephone | 585-690-8862
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207PE0004X
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Taxonomy Name | Emergency Medical Services (Emergency Medicine) Physician
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License Number |
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License Number State |
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