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General NPI Number Information
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NPI Number | 1255333563
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Entity Type | Organization
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Legal Business Name | CITY OF ROANOKE EMS
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Dates
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Enumeration Date | 06/01/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 541 LUCK AVE SW STE 120
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City | ROANOKE
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State | VA
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Zip | 24016-5055
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Country | US
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Telephone | 540-853-2216
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Fax | 540-853-1172
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Provider Business Mailing Address
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Address Line | PO BOX 20582
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City | ROANOKE
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State | VA
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Zip | 24018-0059
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Country | US
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Telephone | 540-767-2700
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Fax | 540-767-2708
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Authorized Official
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Title or Position | SUPPORT ADMINISTRATOR
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Name | MR. VINCENT D STOVER
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Credential |
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Telephone | 540-853-2216
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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 |
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License Number State |
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