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NPI 1780626499

NPI 1780626499 : EMO MEDICAL CARE LLC : MIDDLETOWN, NJ

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General NPI Number Information
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    NPI Number           |    1780626499
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    Entity Type          |    Organization 
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    Legal Business Name  |    EMO MEDICAL CARE LLC 
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Dates
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    Enumeration Date     |    06/10/2006
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    Last Update Date     |    03/27/2023
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Provider Practice Location Address
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    Address Line         |    2 KINGS HWY E 
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    City                 |    MIDDLETOWN
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    State                |    NJ
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    Zip                  |    07748-3509
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    Country              |    US
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    Telephone            |    469-401-2386
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 740557 DEPT 10016
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    City                 |    LOS ANGELES
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    State                |    CA
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    Zip                  |    90074-0557
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    Country              |    US
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    Telephone            |    888-233-8826
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    Fax                  |    602-262-8890
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Authorized Official
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    Title or Position    |    OFFICER
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    Name                 |     KAREN  VAUGHN 
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    Credential           |    
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    Telephone            |    404-450-4684
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QM1300X
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    Taxonomy Name        |    Multi-Specialty Clinic/Center
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    License Number       |    
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    License Number State |    NJ
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