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General NPI Number Information
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NPI Number | 1255331187
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Entity Type | Organization
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Legal Business Name | MARTIN COUNTY FLORIDA BOARD OF COMMISSIONERS
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Dates
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Enumeration Date | 07/21/2005
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Last Update Date | 04/03/2013
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Provider Practice Location Address
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Address Line | 800 SE MONTEREY RD
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City | STUART
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State | FL
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Zip | 34994-4507
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Country | US
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Telephone | 772-288-5710
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Fax | 772-288-5942
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Provider Business Mailing Address
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Address Line | 3485 SE WILLOUGHBY BLVD
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City | STUART
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State | FL
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Zip | 34994-5060
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Country | US
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Telephone | 772-463-7277
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Fax | 772-419-4544
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Authorized Official
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Title or Position | EMS BILLING MANAGER
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Name | MRS. LYNN MOORE
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Credential |
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Telephone | 772-463-6277
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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 | 001740
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License Number State | FL
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