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General NPI Number Information
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NPI Number | 1497156244
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Entity Type | Organization
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Legal Business Name | THOMASVILLE RESCUE SQUAD
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Dates
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Enumeration Date | 09/11/2014
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Last Update Date | 09/11/2014
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Provider Practice Location Address
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Address Line | 212 PINE ST
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City | THOMASVILLE
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State | NC
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Zip | 27360-5153
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Country | US
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Telephone | 336-472-7520
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Fax |
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Provider Business Mailing Address
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Address Line | 212 PINE ST
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City | THOMASVILLE
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State | NC
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Zip | 27361-5153
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Country | US
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Telephone | 336-472-7520
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Fax |
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Authorized Official
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Title or Position | CHAIRMAN
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Name | SAMMUEL T DILKS
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Credential |
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Telephone | 336-472-7520
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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 | 1440
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License Number State | NC
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