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General NPI Number Information
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NPI Number | 1265787444
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Entity Type | Organization
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Legal Business Name | LUMPKIN COUNTY EMERGENCY MEDICAL SERVICES
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Dates
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Enumeration Date | 07/13/2012
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Last Update Date | 05/04/2022
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Provider Practice Location Address
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Address Line | 57A PINE TREE WAY
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City | DAHLONEGA
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State | GA
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Zip | 30533
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Country | US
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Telephone | 706-864-3030
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Fax | 706-867-9099
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Provider Business Mailing Address
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Address Line | PO BOX 5847
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City | GAINESVILLE
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State | GA
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Zip | 30504-0847
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Country | US
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Telephone | 706-864-3030
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Fax | 706-867-9099
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Authorized Official
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Title or Position | DIRECTOR OF FINANCE & PURCHASING
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Name | MRS. ABBY C BRANAN
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Credential |
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Telephone | 706-482-2554
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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 | 093-02
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License Number State | GA
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