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General NPI Number Information
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NPI Number | 1356378855
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Entity Type | Organization
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Legal Business Name | COUNTY OF CASWELL
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Dates
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Enumeration Date | 06/28/2006
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Last Update Date | 08/02/2021
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Provider Practice Location Address
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Address Line | 208 COUNTY PARK RD
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City | YANCEYVILLE
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State | NC
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Zip | 27379
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Country | US
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Telephone | 336-694-5177
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Fax | 336-694-5738
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Provider Business Mailing Address
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Address Line | PO BOX 99 208 COUNTY PARK RD
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City | YANCEYVILLE
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State | NC
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Zip | 27379-0099
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Country | US
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Telephone | 336-694-5177
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Fax | 336-694-5738
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Authorized Official
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Title or Position | EMS DIRECTOR
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Name | BARRY LYNCH
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Credential |
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Telephone | 336-694-5177
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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 | 1361
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License Number State | NC
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