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General NPI Number Information
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NPI Number | 1174578702
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Entity Type | Organization
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Legal Business Name | COUNTY OF CHESTERFIELD VIRGINIA
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Dates
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Enumeration Date | 05/23/2006
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Last Update Date | 07/26/2012
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Provider Practice Location Address
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Address Line | 6731 MIMMS LOOP
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City | CHESTERFIELD
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State | VA
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Zip | 23832-6528
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Country | US
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Telephone | 804-717-6096
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Fax | 804-751-4146
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Provider Business Mailing Address
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Address Line | P.O. BOX 40
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City | CHESTERFIELD
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State | VA
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Zip | 23832-6528
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Country | US
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Telephone | 804-717-6096
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Fax | 804-751-4146
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Authorized Official
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Title or Position | EMS DIRECTOR
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Name | MR. ROBERT MICHAEL HARMON
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Credential |
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Telephone | 804-717-6096
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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 | 504
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License Number State | VA
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