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General NPI Number Information
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NPI Number | 1184094641
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Entity Type | Organization
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Legal Business Name | CITY OF WARRIOR
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Dates
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Enumeration Date | 09/28/2015
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Last Update Date | 04/04/2022
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Provider Practice Location Address
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Address Line | 215 MAIN ST N
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City | WARRIOR
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State | AL
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Zip | 35180-1346
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Country | US
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Telephone | 205-647-1579
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Fax | 205-647-0521
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Provider Business Mailing Address
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Address Line | PO BOX 9150
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City | PADUCAH
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State | KY
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Zip | 42002-9150
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Country | US
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Telephone | 270-744-9600
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Fax | 270-744-8642
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Authorized Official
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Title or Position | CHIEF
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Name | JEFFERY SCOTT HILTON
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Credential |
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Telephone | 205-647-1579
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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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