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General NPI Number Information
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NPI Number | 1487441291
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Entity Type | Organization
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Legal Business Name | SOMERSET COUNTY COUNTY COMM FOR SOMERSET CO
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Dates
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Enumeration Date | 04/23/2025
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Last Update Date | 08/20/2025
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Provider Practice Location Address
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Address Line | 11916 SOMERSET AVE STE 201
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City | PRINCESS ANNE
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State | MD
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Zip | 21853-1307
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Country | US
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Telephone | 410-726-0625
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Fax |
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Provider Business Mailing Address
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Address Line | 11916 SOMERSET AVE STE 201
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City | PRINCESS ANNE
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State | MD
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Zip | 21853-1307
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Country | US
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Telephone | 410-726-0625
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Fax |
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Authorized Official
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Title or Position | CHIEF
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Name | JOEL DIXON
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Credential | NRP
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Telephone | 410-726-0625
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207PE0004X
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Taxonomy Name | Emergency Medical Services (Emergency Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #2
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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 |
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