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General NPI Number Information
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NPI Number | 1083114250
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Entity Type | Organization
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Legal Business Name | TAZEWELL COUNTY BOARD
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Dates
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Enumeration Date | 02/14/2018
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Last Update Date | 04/24/2018
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Provider Practice Location Address
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Address Line | 714 VIRGINIA AVE
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City | BLUEFIELD
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State | VA
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Zip | 24605-1424
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Country | US
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Telephone | 276-326-3763
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Fax |
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Provider Business Mailing Address
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Address Line | 197 MAIN ST
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City | TAZEWELL
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State | VA
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Zip | 24651-6101
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Country | US
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Telephone | 276-385-1200
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Fax |
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Authorized Official
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Title or Position | COUNTY ADMINISTRATOR
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Name | PATRICIA K GREEN
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Credential |
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Telephone | 276-385-1200
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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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