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General NPI Number Information
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NPI Number | 1295896264
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Entity Type | Organization
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Legal Business Name | TOWN OF COLUMBIA
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Dates
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Enumeration Date | 12/13/2006
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Last Update Date | 10/21/2024
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Provider Practice Location Address
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Address Line | 202 S MAIN ST
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City | COLUMBIA
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State | AL
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Zip | 36319-3669
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Country | US
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Telephone | 334-696-4412
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Fax | 334-696-8083
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Provider Business Mailing Address
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Address Line | PO BOX 339
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City | COLUMBIA
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State | AL
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Zip | 36319-0339
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Country | US
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Telephone | 334-696-4417
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Fax | 334-696-8083
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Authorized Official
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Title or Position | EMS CAPTAIN
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Name | ERNEST CLAYTON HAMM
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Credential |
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Telephone | 334-696-4417
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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 | 184
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License Number State | AL
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