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General NPI Number Information
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NPI Number | 1255337697
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Entity Type | Organization
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Legal Business Name | ROANOKE COUNTY BOARD OF SUPERVISORS
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Dates
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Enumeration Date | 06/21/2005
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Last Update Date | 04/07/2017
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Provider Practice Location Address
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Address Line | ROANOKE COUNTY PUBLIC SAFETY CENTER 5925 COVE ROAD
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City | ROANOKE
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State | VA
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Zip | 24019
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Country | US
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Telephone | 540-777-8701
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 20862
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City | ROANOKE
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State | VA
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Zip | 24018-0087
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIVISION CHIEF
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Name | MR. STEPHEN GEORGE SIMON
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Credential |
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Telephone | 540-777-8701
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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 | 442
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License Number State | VA
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