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General NPI Number Information
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NPI Number | 1457459737
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Entity Type | Organization
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Legal Business Name | SCOTT COUNTY
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 04/21/2017
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Provider Practice Location Address
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Address Line | 1468 SCOTT VALLEY DR
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City | SCOTTSBURG
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State | IN
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Zip | 47170-7795
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Country | US
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Telephone | 812-754-0500
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Fax | 812-754-0501
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Provider Business Mailing Address
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Address Line | PO BOX 727
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City | ELKHART
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State | IN
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Zip | 46515-0727
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Country | US
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Telephone | 574-293-3030
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Fax | 574-294-1345
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Authorized Official
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Title or Position | EMS DIRECTOR
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Name | JACOB CARROLL
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Credential |
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Telephone | 812-754-0500
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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 | 0898
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License Number State | IN
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