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General NPI Number Information
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NPI Number | 1154006633
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Entity Type | Organization
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Legal Business Name | COUNTY OF CLAY OFFICE OF COUNTY
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Dates
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Enumeration Date | 06/21/2023
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Last Update Date | 10/24/2023
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Provider Practice Location Address
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Address Line | 143 CORDELL HULL DR
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City | CELINA
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State | TN
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Zip | 38551-3102
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Country | US
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Telephone | 931-243-3147
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Fax | 931-243-4969
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Provider Business Mailing Address
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Address Line | 143 CORDELL HULL DR
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City | CELINA
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State | TN
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Zip | 38551-3102
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Country | US
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Telephone | 931-243-3147
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Fax | 931-243-4969
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Authorized Official
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Title or Position | EMS DIRECTOR
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Name | ANDREW HALL
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Credential |
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Telephone | 931-243-3147
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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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