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General NPI Number Information
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NPI Number | 1013668920
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Entity Type | Organization
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Legal Business Name | TOWN OF REHOBETH
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Dates
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Enumeration Date | 01/12/2022
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Last Update Date | 04/04/2022
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Provider Practice Location Address
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Address Line | 235 MALVERN RD
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City | REHOBETH
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State | AL
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Zip | 36301-7331
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Country | US
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Telephone | 334-702-8832
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Fax |
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Provider Business Mailing Address
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Address Line | 221 MALVERN RD
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City | REHOBETH
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State | AL
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Zip | 36301-7331
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Country | US
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Telephone | 334-671-5829
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Fax | 334-673-3969
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Authorized Official
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Title or Position | ADMIN ASSISTANT
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Name | TABATHA WATSON
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Credential |
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Telephone | 334-671-5829
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number |
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License Number State |
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