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General NPI Number Information
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NPI Number | 1083158570
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Entity Type | Organization
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Legal Business Name | SHELBY COUNTY GOVERNMENT
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Dates
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Enumeration Date | 12/19/2016
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Last Update Date | 01/24/2017
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Provider Practice Location Address
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Address Line | 1075 MULLINS STATION RD BLDG. C, 2ND FLOOR
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City | MEMPHIS
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State | TN
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Zip | 38134-7730
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Country | US
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Telephone | 901-222-8010
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Fax | 901-373-4925
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Provider Business Mailing Address
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Address Line | 1075 MULLINS STATION RD BLDG. C, 2ND FLOOR
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City | MEMPHIS
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State | TN
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Zip | 38134-7730
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Country | US
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Telephone | 901-222-8010
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Fax | 901-373-4925
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Authorized Official
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Title or Position | DIVISION CHIEF OF EMS
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Name | MR. DONALD F FLETCHER
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Credential |
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Telephone | 901-222-8010
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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 | EMS0000010206
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License Number State | TN
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