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General NPI Number Information
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NPI Number | 1255333134
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Entity Type | Organization
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Legal Business Name | OC3 INC
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Dates
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Enumeration Date | 08/11/2005
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Last Update Date | 07/13/2007
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Provider Practice Location Address
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Address Line | 105 S COMMERCE ST
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City | AULANDER
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State | NC
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Zip | 27805-9101
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Country | US
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Telephone | 252-345-8317
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Fax | 252-345-8318
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Provider Business Mailing Address
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Address Line | 105 S COMMERCE ST PO BOX 789
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City | AULANDER
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State | NC
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Zip | 27805-9101
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Country | US
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Telephone | 252-345-8317
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Fax | 252-345-8318
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Authorized Official
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Title or Position | TREASURE
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Name | MR. VANDERBILL CHERRY JR.
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Credential |
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Telephone | 252-345-8317
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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 | 0081256
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License Number State | NC
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