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General NPI Number Information
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NPI Number | 1568844108
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Entity Type | Organization
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Legal Business Name | FLUVANNA COUNTY
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Dates
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Enumeration Date | 06/19/2015
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Last Update Date | 06/19/2015
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Provider Practice Location Address
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Address Line | 132 MAIN ST
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City | PALMYRA
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State | VA
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Zip | 22963-4179
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Country | US
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Telephone | 434-591-1910
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 540
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City | PALMYRA
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State | VA
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Zip | 22963-1001
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Country | US
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Telephone | 434-591-1910
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Fax |
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Authorized Official
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Title or Position | COUNTY ADMINISTRATOR
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Name | STEVEN NICHOLS
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Credential |
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Telephone | 434-591-1910
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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 | 115
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License Number State | VA
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