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General NPI Number Information
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NPI Number | 1104820752
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Entity Type | Organization
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Legal Business Name | COUNTY OF LANCASTER
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Dates
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Enumeration Date | 06/10/2005
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Last Update Date | 02/23/2015
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Provider Practice Location Address
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Address Line | 2006 PAGELAND HIGHWAY
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City | LANCASTER
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State | SC
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Zip | 29720
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Country | US
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Telephone | 803-283-4134
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Fax | 803-283-2092
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Provider Business Mailing Address
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Address Line | P.O. BOX 1809
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City | LANCASTER
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State | SC
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Zip | 29721-1809
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Country | US
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Telephone | 803-283-4134
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Fax | 803-283-2092
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Authorized Official
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Title or Position | EMS DIRECTOR
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Name | MR. CLAYTON L CATOE
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Credential |
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Telephone | 803-416-9901
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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 | 040 SC
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | 040
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License Number State | SC
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