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General NPI Number Information
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NPI Number | 1194714253
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Entity Type | Organization
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Legal Business Name | SCOTT COUNTY AMBULANCE SERVICE
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Dates
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Enumeration Date | 10/20/2005
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Last Update Date | 11/19/2024
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Provider Practice Location Address
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Address Line | 501 PAINT ROCK RD
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City | ONEIDA
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State | TN
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Zip | 37841-5915
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Country | US
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Telephone | 423-569-6000
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Fax | 423-569-3618
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Provider Business Mailing Address
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Address Line | 501 PAINT ROCK RD
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City | ONEIDA
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State | TN
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Zip | 37841-5915
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Country | US
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Telephone | 423-569-6000
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Fax | 423-569-3618
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Authorized Official
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Title or Position | EMS DIRECTOR
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Name | JAMIE BYRD
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Credential |
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Telephone | 423-569-6000
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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 | EMS0000007601
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License Number State | TN
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