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General NPI Number Information
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NPI Number | 1760479919
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Entity Type | Individual
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Provider Name | MICHELLE L EMBLING MD
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Gender | Female
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Dates
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Enumeration Date | 10/03/2005
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Last Update Date | 01/08/2016
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Provider Practice Location Address
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Address Line | 8024 E MERCER LN
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City | SCOTTSDALE
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State | AZ
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Zip | 85260-6562
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Country | US
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Telephone | 205-910-5720
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Fax |
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Provider Business Mailing Address
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Address Line | 8024 E MERCER LN
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City | SCOTTSDALE
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State | AZ
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Zip | 85260-6562
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Country | US
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Telephone | 205-910-5720
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | MD.18514
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | MD.18514
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License Number State | AL
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Taxonomy #3
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 44863
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License Number State | AZ
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Taxonomy #4
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 44863
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License Number State | AZ
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Taxonomy #5
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Taxonomy Code | 207PP0204X
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Taxonomy Name | Pediatric Emergency Medicine (Emergency Medicine) Physician
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License Number | 44863
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License Number State | AZ
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Taxonomy #6
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Taxonomy Code | 2080P0204X
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Taxonomy Name | Pediatric Emergency Medicine (Pediatrics) Physician
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License Number | 44863
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License Number State | AZ
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