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NPI 1356447536

NPI 1356447536 : TIFT COUNTY COMMISSIONER OF ROADS & REVENUES : TIFTON, GA

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General NPI Number Information
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    NPI Number           |    1356447536
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    Entity Type          |    Organization 
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    Legal Business Name  |    TIFT COUNTY COMMISSIONER OF ROADS & REVENUES 
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Dates
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    Enumeration Date     |    09/15/2006
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    Last Update Date     |    09/18/2024
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Provider Practice Location Address
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    Address Line         |    1209 N TIFTON AVENUE 
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    City                 |    TIFTON
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    State                |    GA
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    Zip                  |    31793
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    Country              |    US
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    Telephone            |    229-386-7924
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    Fax                  |    229-386-7923
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Provider Business Mailing Address
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    Address Line         |    PO BOX 1980 
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    City                 |    TIFTON
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    State                |    GA
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    Zip                  |    31793-1980
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    Country              |    US
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    Telephone            |    229-386-7924
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    Fax                  |    229-386-7923
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Authorized Official
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    Title or Position    |    EMS DIRECTOR
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    Name                 |     MICHAEL  CHAFIN 
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    Credential           |    
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    Telephone            |    229-388-6041
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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       |    13701
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    License Number State |    GA
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