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General NPI Number Information
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NPI Number | 1316132293
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Entity Type | Individual
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Provider Name | SCOTT ALAN SASSAMAN PARAMEDIC / IDC
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Gender | Male
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Dates
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Enumeration Date | 09/13/2007
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Last Update Date | 03/31/2011
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Provider Practice Location Address
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Address Line | 2201 ALCOA HIGHWAY
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City | KNOXVILLE
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State | TN
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Zip | 37902-2231
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Country | US
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Telephone | 865-522-6434
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 442
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City | COTTONDALE
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State | AL
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Zip | 35453-0105
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Country | US
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Telephone | 205-567-7123
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 146L00000X
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Taxonomy Name | Paramedic
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License Number | 8729485
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 171000000X
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Taxonomy Name | Military Health Care Provider
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License Number |
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License Number State |
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