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General NPI Number Information
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NPI Number | 1841338753
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Entity Type | Organization
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Legal Business Name | EMERGENCY SERVICES CORPORATION OF AMERICA
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Dates
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Enumeration Date | 02/02/2007
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Last Update Date | 04/19/2016
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Provider Practice Location Address
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Address Line | 225 N WILLOW AVE
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City | COOKEVILLE
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State | TN
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Zip | 38501-2335
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Country | US
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Telephone | 931-525-5454
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Fax | 931-520-7655
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Provider Business Mailing Address
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Address Line | 225 N WILLOW AVE
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City | COOKEVILLE
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State | TN
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Zip | 38501-2335
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Country | US
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Telephone | 931-525-5454
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Fax | 931-520-7655
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Authorized Official
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Title or Position | CEO
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Name | DR. PUSHPENDRA K JAIN
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Credential | M.D.
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Telephone | 931-525-5454
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207PE0004X
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Taxonomy Name | Emergency Medical Services (Emergency Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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