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General NPI Number Information
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NPI Number | 1336178094
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Entity Type | Organization
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Legal Business Name | VILLAGE OF BALD HEAD ISLAND
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Dates
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Enumeration Date | 07/02/2006
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Last Update Date | 05/19/2008
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Provider Practice Location Address
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Address Line | 251 EDWARD TEACH EXT
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City | BALD HEAD ISLAND
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State | NC
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Zip | 28461
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Country | US
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Telephone | 910-457-4310
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Fax | 910-457-4960
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Provider Business Mailing Address
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Address Line | PO BOX 3009
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City | BALD HEAD ISLAND
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State | NC
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Zip | 28461-7000
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Country | US
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Telephone | 910-457-4310
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Fax | 910-457-4960
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Authorized Official
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Title or Position | CHIEF
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Name | MR. JEROME C MUNNA
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Credential |
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Telephone | 910-457-4310
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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 |
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License Number State | NC
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