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General NPI Number Information
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NPI Number | 1821243957
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Entity Type | Organization
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Legal Business Name | EMERGENCY PHYSICIANS OF LUBBOCK PA
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Dates
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Enumeration Date | 11/17/2008
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Last Update Date | 05/07/2009
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Provider Practice Location Address
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Address Line | 2412 50TH ST
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City | LUBBOCK
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State | TX
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Zip | 79412-2504
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Country | US
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Telephone | 806-788-4100
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 8908
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City | FORT WORTH
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State | TX
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Zip | 76124-0908
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Country | US
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Telephone | 817-451-4208
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Fax | 817-563-3699
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Authorized Official
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Title or Position | PRESIDENT
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Name | NAGARJUN NARRA
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Credential | MD
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Telephone | 806-788-4100
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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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