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General NPI Number Information
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NPI Number | 1861440646
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Entity Type | Organization
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Legal Business Name | GULF EMERGENCY MANAGEMENT, APMC
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Dates
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Enumeration Date | 05/04/2006
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Last Update Date | 07/12/2011
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Provider Practice Location Address
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Address Line | 4200 HOUMA BLVD EMERGENCY ROOM
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City | METAIRIE
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State | LA
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Zip | 70006-2970
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Country | US
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Telephone | 210-614-0180
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Fax | 210-566-5698
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Provider Business Mailing Address
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Address Line | PO BOX 62600 DEPT 1142
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City | NEW ORLEANS
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State | LA
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Zip | 70162-2600
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Country | US
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Telephone | 210-614-0180
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Fax | 210-566-5698
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Authorized Official
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Title or Position | PRINCIPAL OFFICER
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Name | DR. JOHN WALES
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Credential | M.D.
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Telephone | 540-454-4196
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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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