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General NPI Number Information
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NPI Number | 1497856033
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Entity Type | Organization
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Legal Business Name | COUNTY OF INDIAN RIVER
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Dates
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Enumeration Date | 09/26/2006
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Last Update Date | 09/12/2022
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Provider Practice Location Address
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Address Line | 4225 43RD AVE
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City | VERO BEACH
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State | FL
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Zip | 32967-1671
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Country | US
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Telephone | 772-226-3900
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Fax | 772-770-5147
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Provider Business Mailing Address
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Address Line | PO BOX 850001 DEPT 0669
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City | ORLANDO
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State | FL
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Zip | 32885-0001
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Country | US
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Telephone | 772-226-3900
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Fax | 772-226-3868
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Authorized Official
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Title or Position | DIRECTOR
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Name | JOSEPH D JOHNSON
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Credential |
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Telephone | 772-226-3947
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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 | 3101
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License Number State | FL
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