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General NPI Number Information
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NPI Number | 1437168481
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Entity Type | Organization
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Legal Business Name | PRINCE GEORGE COUNTY
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Dates
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Enumeration Date | 08/07/2006
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Last Update Date | 04/08/2025
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Provider Practice Location Address
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Address Line | 6602 COURTS DR
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City | PRINCE GEORGE
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State | VA
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Zip | 23875-2503
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Country | US
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Telephone | 804-722-8614
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Fax |
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Provider Business Mailing Address
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Address Line | 6602 COURTS DR
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City | PRINCE GEORGE
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State | VA
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Zip | 23875-2503
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Country | US
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Telephone | 804-722-8614
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Fax | 804-733-2769
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Authorized Official
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Title or Position | REVENUE RECOVERY MANAGER
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Name | MELISSA ILNICKI
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Credential | CAC
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Telephone | 804-722-8623
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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 |
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License Number State | VA
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