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General NPI Number Information
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NPI Number | 1861897480
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Entity Type | Organization
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Legal Business Name | EMERGENCY PHYSICIANS MEDICAL CENTER, LLC
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Dates
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Enumeration Date | 10/24/2014
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Last Update Date | 10/24/2014
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Provider Practice Location Address
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Address Line | 9181 NW 39TH AVE
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City | GAINESVILLE
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State | FL
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Zip | 32606-7372
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Country | US
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Telephone | 352-872-5111
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Fax | 352-872-5121
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Provider Business Mailing Address
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Address Line | 2445 SW 76TH ST SUITE 110
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City | GAINESVILLE
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State | FL
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Zip | 32608-0350
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Country | US
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Telephone | 352-872-5111
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Fax | 352-872-5121
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Authorized Official
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Title or Position | CEO
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Name | DR. STEVEN LANCE YUCHT
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Credential | MD
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Telephone | 352-872-5111
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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 | ME75334
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License Number State | FL
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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 | ME75334
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License Number State | FL
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