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General NPI Number Information
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NPI Number | 1093752818
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Entity Type | Organization
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Legal Business Name | COUNTY OF CLEVELAND NORTH CAROLINA
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Dates
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Enumeration Date | 06/01/2006
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Last Update Date | 10/17/2023
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Provider Practice Location Address
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Address Line | 1333 FALLSTON RD RM 104A
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City | SHELBY
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State | NC
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Zip | 28150-3301
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Country | US
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Telephone | 704-484-4886
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Fax | 704-484-4887
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Provider Business Mailing Address
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Address Line | PO BOX 2462
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City | SHELBY
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State | NC
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Zip | 28151-2462
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Country | US
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Telephone | 704-484-4886
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Fax | 704-484-4887
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Authorized Official
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Title or Position | EMS DIRECTOR
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Name | MR. TOMMY L MCNEILLY
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Credential |
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Telephone | 704-484-4984
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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 | NC
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