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General NPI Number Information
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NPI Number | 1760778617
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Entity Type | Organization
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Legal Business Name | FLORIDA EMERGENCY CONSULTANTS LLP
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Dates
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Enumeration Date | 06/20/2011
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Last Update Date | 08/05/2011
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Provider Practice Location Address
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Address Line | 524 W SAGAMORE AVE
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City | CLEWISTON
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State | FL
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Zip | 33440-3514
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Country | US
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Telephone | 863-983-9121
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Fax | 863-983-1809
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Provider Business Mailing Address
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Address Line | 75 REMIT DR # 1367
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City | CHICAGO
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State | IL
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Zip | 60675-1367
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Country | US
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Telephone | 800-701-3381
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Fax | 231-922-4030
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Authorized Official
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Title or Position | LLP MANAGING PARTNER
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Name | DR. DERIK K KING
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Credential | MD
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Telephone | 800-701-3381
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number |
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License Number State |
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