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General NPI Number Information
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NPI Number | 1750545398
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Entity Type | Organization
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Legal Business Name | LONGHORN EMERGENCY PHYSICIANS
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Dates
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Enumeration Date | 07/14/2008
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Last Update Date | 02/26/2009
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Provider Practice Location Address
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Address Line | 1017 S TRAVIS STREET
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City | CLEVELAND
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State | TX
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Zip | 77327-5152
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Country | US
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Telephone | 281-622-2900
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Fax |
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Provider Business Mailing Address
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Address Line | 850 S PALAFOX ST 3RD FLOOR
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City | PENSACOLA
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State | FL
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Zip | 32502-5983
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Country | US
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Telephone | 800-444-7009
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Fax | 800-305-3233
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Authorized Official
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Title or Position | PRESIDENT, TERS, GENERAL PARTNER
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Name | JOSEPH H. GATEWOOD
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Credential | M.D.
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Telephone | 800-527-2145
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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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