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NPI 1144375718

NPI 1144375718 : COUNTY OF GEORGETOWN : GEORGETOWN, SC

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General NPI Number Information
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    NPI Number           |    1144375718
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    Entity Type          |    Organization 
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    Legal Business Name  |    COUNTY OF GEORGETOWN 
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Dates
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    Enumeration Date     |    01/24/2007
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    Last Update Date     |    05/24/2013
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Provider Practice Location Address
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    Address Line         |    3605 HIGHMARKET ST 
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    City                 |    GEORGETOWN
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    State                |    SC
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    Zip                  |    29440-4651
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    Country              |    US
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    Telephone            |    843-545-3271
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    Fax                  |    843-545-3646
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Provider Business Mailing Address
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    Address Line         |    3605 HIGHMARKET ST 
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    City                 |    GEORGETOWN
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    State                |    SC
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    Zip                  |    29440-4651
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    Country              |    US
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    Telephone            |    843-545-3139
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    Fax                  |    843-545-3646
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Authorized Official
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    Title or Position    |    ASSISTANT CHIEF OF OPERATIONS
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    Name                 |     ANTHONY C HUCKS 
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    Credential           |    NREMT-P
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    Telephone            |    843-545-3139
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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       |    029
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    License Number State |    SC
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