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General NPI Number Information
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NPI Number | 1477627024
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Entity Type | Organization
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Legal Business Name | CITY OF PRATTVILLE
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Dates
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Enumeration Date | 11/17/2006
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Last Update Date | 09/11/2008
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Provider Practice Location Address
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Address Line | 102 MAIN ST W SUITE C
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City | PRATTVILLE
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State | AL
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Zip | 36067-3034
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Country | US
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Telephone | 334-358-3670
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Fax | 334-358-0113
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Provider Business Mailing Address
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Address Line | 102 MAIN ST W SUITE C
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City | PRATTVILLE
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State | AL
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Zip | 36067-3034
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Country | US
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Telephone | 334-358-3670
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Fax | 334-358-0113
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Authorized Official
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Title or Position | CHIEF
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Name | DAVID TUCKER
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Credential |
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Telephone | 334-358-3238
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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 | 348
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License Number State | AL
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