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General NPI Number Information
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NPI Number | 1982321006
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Entity Type | Organization
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Legal Business Name | EMC HEALTH, LLC
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Dates
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Enumeration Date | 10/20/2022
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Last Update Date | 07/31/2024
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Provider Practice Location Address
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Address Line | 849 S SYCAMORE ST STE A
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City | PETERSBURG
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State | VA
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Zip | 23803-5801
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Country | US
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Telephone | 804-715-1031
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Fax | 804-203-4722
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Provider Business Mailing Address
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Address Line | 849 S SYCAMORE ST STE A
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City | PETERSBURG
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State | VA
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Zip | 23803-5801
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Country | US
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Telephone | 804-715-1031
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Fax | 804-203-4722
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Authorized Official
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Title or Position | OWNER
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Name | EVELYN MARIA CASON
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Credential |
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Telephone | 804-715-1031
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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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 | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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