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General NPI Number Information
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NPI Number | 1205832797
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Entity Type | Organization
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Legal Business Name | COUNTY OF RUTHERFORD OFFICE OF BUDGET DIRECTOR
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Dates
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Enumeration Date | 06/21/2005
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Last Update Date | 03/16/2021
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Provider Practice Location Address
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Address Line | 611 E LYTLE ST
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City | MURFREESBORO
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State | TN
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Zip | 37130-3919
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Country | US
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Telephone | 615-898-7790
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Fax | 615-898-7952
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Provider Business Mailing Address
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Address Line | 611 E. LYTLE ST.
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City | MURFREESBORO
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State | TN
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Zip | 37130
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Country | US
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Telephone | 615-217-0064
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Fax | 615-898-7952
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Authorized Official
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Title or Position | MEDICAL COMPLIANCE OFFICER
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Name | KACY MARIE DAVENPORT
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Credential |
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Telephone | 615-898-7790
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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 | EMS0000007501
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License Number State | TN
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