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General NPI Number Information
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NPI Number | 1194762450
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Entity Type | Organization
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Legal Business Name | BOARD OF COUNTY COMMISSIONERS IN LEE COUNTY GEORGIA
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Dates
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Enumeration Date | 06/02/2006
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Last Update Date | 08/15/2024
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Provider Practice Location Address
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Address Line | 342 LESLIE HWY
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City | LEESBURG
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State | GA
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Zip | 31763-4385
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Country | US
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Telephone | 229-759-6011
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Fax |
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Provider Business Mailing Address
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Address Line | 102 STARKSVILLE AVE N
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City | LEESBURG
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State | GA
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Zip | 31763-4548
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Country | US
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Telephone | 229-759-6000
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Fax | 229-435-5436
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Authorized Official
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Title or Position | FINANCE DIRECTOR
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Name | HEATHER JONES
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Credential |
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Telephone | 229-759-6000
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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 | 088-01
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License Number State | GA
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