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General NPI Number Information
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NPI Number | 1750360061
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Entity Type | Organization
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Legal Business Name | EMERGENCY MANAGEMENT ASSOCIATES PC
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Dates
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Enumeration Date | 01/13/2006
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Last Update Date | 05/22/2015
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Provider Practice Location Address
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Address Line | 10501 E 91ST ST EMERGENCY DEPT
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City | TULSA
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State | OK
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Zip | 74133-5790
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Country | US
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Telephone | 918-307-6920
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Fax | 918-307-6951
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Provider Business Mailing Address
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Address Line | PO BOX 25277
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City | OVERLAND PARK
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State | KS
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Zip | 66225-5277
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Country | US
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Telephone | 918-307-6920
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Fax | 918-307-6951
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MATTHEW R WARREN
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Credential | DO
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Telephone | 918-307-6950
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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 | OK
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