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General NPI Number Information
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NPI Number | 1144917907
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Entity Type | Organization
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Legal Business Name | COOSA COUNTY COMMISSION
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Dates
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Enumeration Date | 04/21/2023
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Last Update Date | 02/13/2024
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Provider Practice Location Address
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Address Line | 66 COMMUNICATION DR
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City | ROCKFORD
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State | AL
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Zip | 35136-1566
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Country | US
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Telephone | 256-510-4288
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Fax | 256-377-2524
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Provider Business Mailing Address
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Address Line | PO BOX 10
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City | ROCKFORD
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State | AL
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Zip | 35136-0010
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Country | US
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Telephone | 256-377-1350
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Fax | 256-377-2524
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Authorized Official
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Title or Position | EMS DIRECTOR
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Name | HOLLIE OSBOURN
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Credential | NR PARAMEDIC
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Telephone | 256-510-4288
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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 |
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