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General NPI Number Information
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NPI Number | 1073683603
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Entity Type | Organization
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Legal Business Name | CLAYTON COUNTY BOARD OF COMMISSIONERS
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Dates
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Enumeration Date | 11/09/2006
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Last Update Date | 02/20/2013
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Provider Practice Location Address
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Address Line | 112 SMITH ST
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City | JONESBORO
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State | GA
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Zip | 30236-3539
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Country | US
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Telephone | 770-472-8149
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Fax | 770-472-8014
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Provider Business Mailing Address
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Address Line | 112 SMITH ST
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City | JONESBORO
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State | GA
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Zip | 30236-3539
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Country | US
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Telephone | 770-472-8149
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Fax | 770-472-8014
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Authorized Official
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Title or Position | CHAIRMAN OF BOARD OF COMMISSIONERS
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Name | MR. JEFFREY E TURNER
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Credential |
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Telephone | 770-472-8122
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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 | 031-02
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License Number State | GA
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