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General NPI Number Information
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NPI Number | 1508290297
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Entity Type | Organization
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Legal Business Name | COUNTY OF LOUDOUN VIRGINIA
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Dates
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Enumeration Date | 08/29/2013
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Last Update Date | 06/25/2014
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Provider Practice Location Address
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Address Line | 16600 COURAGE CT
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City | LEESBURG
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State | VA
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Zip | 20175-8922
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Country | US
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Telephone | 703-737-8400
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Fax | 703-777-0235
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Provider Business Mailing Address
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Address Line | 801 SYCOLIN RD SE
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City | LEESBURG
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State | VA
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Zip | 20175-5685
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Country | US
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Telephone | 703-737-8782
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Fax | 703-771-5359
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Authorized Official
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Title or Position | CHIEF OF THE DEPARTMENT
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Name | MR. WILLIAM KEITH BROWER JR.
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Credential |
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Telephone | 703-777-0435
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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 | 534
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License Number State | VA
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