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General NPI Number Information
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NPI Number | 1487946232
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Entity Type | Organization
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Legal Business Name | ESSEX COUNTY EMS
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Dates
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Enumeration Date | 05/12/2011
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Last Update Date | 05/20/2011
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Provider Practice Location Address
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Address Line | 205 CROSS ST
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City | TAPPAHANNOCK
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State | VA
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Zip | 22560
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Country | US
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Telephone | 804-443-4414
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1079
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City | TAPPAHANNOCK
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State | VA
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Zip | 22560-1079
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Country | US
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Telephone | 804-443-4414
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Fax |
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Authorized Official
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Title or Position | EMS ADMINISTRATOR
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Name | LARRY SMITH
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Credential |
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Telephone | 804-443-4414
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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 |
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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 | VA
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