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General NPI Number Information
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NPI Number | 1316052566
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Entity Type | Organization
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Legal Business Name | GWINNETT COUNTY BOARD OF COMMISSIONERS
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Dates
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Enumeration Date | 08/20/2006
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Last Update Date | 12/28/2018
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Provider Practice Location Address
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Address Line | 408 HURRICANE SHOALS RD NE
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City | LAWRENCEVILLE
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State | GA
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Zip | 30046-4406
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Country | US
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Telephone | 678-518-4950
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Fax | 678-518-4951
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Provider Business Mailing Address
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Address Line | 408 HURRICANE SHOALS RD NE
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City | LAWRENCEVILLE
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State | GA
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Zip | 30046-4406
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Country | US
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Telephone | 678-518-4950
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Fax | 678-518-4951
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Authorized Official
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Title or Position | ASSISTANT CHIEF - BUSINESS SERVICES
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Name | BRIAN WOLFE
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Credential |
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Telephone | 678-518-4832
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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 | 06707
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License Number State | GA
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