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General NPI Number Information
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NPI Number | 1386824589
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Entity Type | Organization
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Legal Business Name | DODGE COUNTY COMMISSIONER OF ROADS AND REVENUES
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Dates
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Enumeration Date | 11/06/2007
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Last Update Date | 11/27/2007
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Provider Practice Location Address
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Address Line | 901 GRIFFIN AVE
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City | EASTMAN
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State | GA
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Zip | 31023-6720
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Country | US
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Telephone | 478-374-4361
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 818
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City | EASTMAN
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State | GA
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Zip | 31023-0818
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Country | US
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Telephone | 478-374-4361
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Fax | 478-374-8121
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Authorized Official
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Title or Position | COUNTY MANAGER
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Name | KELLY BOWEN
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Credential |
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Telephone | 478-374-4361
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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 | 045-02
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License Number State | GA
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