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General NPI Number Information
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NPI Number | 1033205182
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Entity Type | Organization
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Legal Business Name | PENDER EMS AND FIRE INC
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Dates
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Enumeration Date | 10/05/2006
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Last Update Date | 01/06/2026
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Provider Practice Location Address
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Address Line | 805 RIDGEWOOD AVE
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City | BURGAW
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State | NC
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Zip | 28425-5111
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Country | US
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Telephone | 910-675-9198
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Fax | 910-675-9169
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Provider Business Mailing Address
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Address Line | PO BOX 650
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City | ROCKY POINT
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State | NC
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Zip | 28457-0650
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Country | US
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Telephone | 910-675-9198
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Fax | 910-675-9169
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Authorized Official
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Title or Position | CHIEF
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Name | MR. WOODROW WILSON SULLIVAN III
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Credential |
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Telephone | 910-675-9166
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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 | 1578
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License Number State | NC
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