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General NPI Number Information
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NPI Number | 1396744926
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Entity Type | Organization
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Legal Business Name | LAUDERDALE COUNTY EMS DISTRICT
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Dates
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Enumeration Date | 07/15/2005
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Last Update Date | 03/09/2017
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Provider Practice Location Address
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Address Line | 502 17TH AVE
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City | MERIDIAN
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State | MS
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Zip | 39301-5226
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Country | US
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Telephone | 601-485-2958
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Fax | 601-482-1316
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Provider Business Mailing Address
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Address Line | PO BOX 667
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City | MERIDIAN
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State | MS
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Zip | 39302-0667
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Country | US
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Telephone | 601-485-2958
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Fax | 601-482-1316
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MR. TERRY JOE IRBY
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Credential |
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Telephone | 601-485-2958
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number | 082
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License Number State | MS
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Taxonomy #2
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number | 082-ALS-PARMEDIC
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License Number State | MS
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