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General NPI Number Information
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NPI Number | 1396880654
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Entity Type | Organization
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Legal Business Name | COUNTY OF JEFFERSON OFFICE OF CLERK CIRCUIT COURT
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Dates
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Enumeration Date | 02/21/2007
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Last Update Date | 02/04/2013
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Provider Practice Location Address
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Address Line | 1456 S. JEFFERSON ST
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City | MONTICELLO
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State | FL
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Zip | 32344-0000
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Country | US
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Telephone | 850-342-0180
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Fax | 850-342-0181
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Provider Business Mailing Address
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Address Line | COUNTY COURTHOUSE ROOM 10
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City | MONTICELLO
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State | FL
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Zip | 32344-1972
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Country | US
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Telephone | 850-342-0180
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Fax | 850-342-0181
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Authorized Official
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Title or Position | CHIEF
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Name | MR. MARK R MATTHEWS
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Credential |
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Telephone | 850-342-0178
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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 |
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