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General NPI Number Information
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NPI Number | 1184633679
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Entity Type | Organization
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Legal Business Name | WASHINGTON COUNTY-JOHNSON CITY EMERGENCY MEDICAL SERVICES INC
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Dates
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Enumeration Date | 08/05/2006
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Last Update Date | 01/24/2017
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Provider Practice Location Address
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Address Line | 296 WESLEY ST
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City | JOHNSON CITY
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State | TN
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Zip | 37601-1720
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Country | US
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Telephone | 423-975-5500
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Fax | 423-975-5505
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Provider Business Mailing Address
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Address Line | PO BOX 5928
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City | JOHNSON CITY
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State | TN
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Zip | 37602-5928
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Country | US
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Telephone | 844-347-1063
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Fax | 888-974-1293
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Authorized Official
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Title or Position | COMPTROLLER
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Name | LORI KEMP
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Credential | CPA
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Telephone | 423-975-5500
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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 | EMS0000009001
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License Number State | TN
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