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General NPI Number Information
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NPI Number | 1427087717
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Entity Type | Organization
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Legal Business Name | SUWANNEE COUNTY BOARD OF COUNTY COMMISSIONERS
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Dates
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Enumeration Date | 07/01/2006
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Last Update Date | 06/05/2018
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Provider Practice Location Address
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Address Line | 13530 80TH TERRACE
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City | LIVE OAK
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State | FL
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Zip | 32060
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Country | US
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Telephone | 386-364-3404
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Fax | 386-364-1256
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Provider Business Mailing Address
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Address Line | 13530 80TH TERRACE
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City | LIVE OAK
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State | FL
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Zip | 32060-8868
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Country | US
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Telephone | 386-364-3404
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Fax | 386-364-1256
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Authorized Official
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Title or Position | PUBLIC SAFETY DIRECTOR
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Name | JAMES E SOMMERS
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Credential |
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Telephone | 386-364-3404
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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 | 3603
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License Number State | FL
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