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General NPI Number Information
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NPI Number | 1144309758
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Entity Type | Organization
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Legal Business Name | GULF COUNTY BOARD OF COUNTY COMM
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Dates
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Enumeration Date | 11/03/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 237 WEST RIVER ROAD
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City | WEWA
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State | FL
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Zip | 32465
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Country | US
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Telephone | 850-229-8002
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Fax | 850-227-3862
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Provider Business Mailing Address
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Address Line | PO BOX 533
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City | PORT ST JOE
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State | FL
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Zip | 32457-0533
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Country | US
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Telephone | 850-229-8002
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Fax | 850-227-3862
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Authorized Official
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Title or Position | STATION MANGER
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Name | MR. JOHN F FORD
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Credential | PARAMEDIC
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Telephone | 850-229-8002
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number | 2549
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License Number State | FL
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