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General NPI Number Information
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NPI Number | 1760822571
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Entity Type | Organization
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Legal Business Name | CROWN OF THE VALLEY EMERGENCY PHYSICIANS PLLC
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Dates
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Enumeration Date | 06/26/2013
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Last Update Date | 06/26/2013
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Provider Practice Location Address
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Address Line | 6002 FAIRMONT PKWY
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City | PASADENA
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State | TX
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Zip | 77505-4041
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Country | US
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Telephone | 713-359-2100
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 98764
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City | LAS VEGAS
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State | NV
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Zip | 89193-0764
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Country | US
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Telephone | 800-355-0808
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Fax | 610-834-2862
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Authorized Official
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Title or Position | PRESIDENT, TX-I MEDICAL SERVICES PA
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Name | GREGORY J BYRNE
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Credential | M.D.
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Telephone | 800-507-8874
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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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