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General NPI Number Information
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NPI Number | 1780637801
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Entity Type | Organization
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Legal Business Name | TEXAS EM-1 MEDICAL SERVICES, PA
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Dates
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Enumeration Date | 05/18/2006
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Last Update Date | 03/24/2008
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Provider Practice Location Address
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Address Line | 1301 MONTGOMERY RD
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City | GRAHAM
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State | TX
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Zip | 76450-4240
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Country | US
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Telephone | 940-521-5491
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 41749
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City | PHILADELPHIA
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State | PA
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Zip | 19101-1749
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Country | US
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Telephone | 214-712-2000
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Fax | 214-712-2487
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. WILLIAM JERNBERG
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Credential | MD
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Telephone | 214-712-2000
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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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