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General NPI Number Information
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NPI Number | 1548329709
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Entity Type | Organization
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Legal Business Name | BACON COUNTY COMMISSIONERS
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Dates
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Enumeration Date | 12/06/2006
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Last Update Date | 04/16/2013
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Provider Practice Location Address
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Address Line | 307 SOUTH DIXON STREET, SUITE D
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City | ALMA
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State | GA
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Zip | 31510-2717
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Country | US
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Telephone | 912-632-8311
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Fax | 912-632-2351
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Provider Business Mailing Address
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Address Line | PO BOX 2004
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City | ALMA
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State | GA
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Zip | 31510-2004
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Country | US
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Telephone | 912-632-8311
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Fax | 912-632-2351
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. PAUL WESLEY TAYLOR
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Credential |
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Telephone | 912-632-8737
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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 | 003-01
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License Number State | GA
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