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General NPI Number Information
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NPI Number | 1154368009
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Entity Type | Organization
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Legal Business Name | COLUMBUS COUNTY EMS, INC
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Dates
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Enumeration Date | 05/31/2006
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Last Update Date | 08/01/2023
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Provider Practice Location Address
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Address Line | 205 W MAIN ST
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City | WHITEVILLE
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State | NC
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Zip | 28472-4036
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Country | US
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Telephone | 910-640-3049
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Fax | 910-640-2508
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Provider Business Mailing Address
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Address Line | PO BOX 1124
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City | WHITEVILLE
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State | NC
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Zip | 28472-1124
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Country | US
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Telephone | 910-640-3049
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Fax | 910-640-2508
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Authorized Official
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Title or Position | DIRECTOR
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Name | MRS. RAVEN STOCKS WILLIAMSON
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Credential |
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Telephone | 910-770-1016
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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 | NC
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